Organization
SEAMAGTEK HEALTHCARE SERVICES, L.L.C.
Active
Other names
MD Telepsychiatric Center, L.L.C., MD Telepsychiatric Center, L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DR. ERNESTINE MBI ENOHMBI DNP, CRNP-FAMILY, CRNP-PMH DNP, CRNP-PMH (MANAGING PARTNER)
(240) 349-6300
Entity
Organization
Contact information
Practice address
4600 POWDER MILL RD STE 450-W, BELTSVILLE, MD 20705-2675
(240) 349-6300
(979) 606-0062
Mailing address
13807 CLARKWOOD LN, LAUREL, MD 20707-9437
(240) 349-6300
(979) 606-0062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363L00000X
Nurse Practitioner
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124654652
—
MD
05
—
1790393056
—
MD
Enumeration date
07/22/2020
Last updated
07/05/2022
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