Organization
ELITE MULTI SPECIALTY CLINIC, LLC
Active
Other names
Elite Multi Specialty Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ADAORA PERPETUA NOUMMY (OFFICE ADMIN)
(301) 592-1780
Entity
Organization
Contact information
Practice address
12501 PROSPERITY DR STE 330, SILVER SPRING, MD 20904-1655
(301) 592-1780
(240) 645-4013
Mailing address
12501 PROSPERITY DR STE 330, SILVER SPRING, MD 20904-1655
(301) 592-1780
(240) 645-4013
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053758235
NPPES
DC
Enumeration date
08/12/2020
Last updated
08/12/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us