Organization
GILEAD LIFEWORKS BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA J MOODY LCPC (OWNER/MANAGING DIRECTOR)
(240) 273-3264
Entity
Organization
Contact information
Practice address
137 NATIONAL PLZ STE 300, NATIONAL HARBOR, OXON HILL, MD 20745-1153
(240) 273-3264
Mailing address
8103 BURKART CT, GREENBELT, MD 20770-2105
(240) 273-3264
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LC5663
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423215100
—
MD
Enumeration date
05/06/2016
Last updated
05/06/2016
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