Organization
PSYCHIATRY UTOPIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BESERAT LEGESSE KIBRET (PMHNP)
(301) 404-8147
Entity
Organization
Contact information
Practice address
10400 CONNECTICUT AVE STE 311, KENSINGTON, MD 20895-3942
(301) 404-8147
Mailing address
2425 GEORGIA AVE APT 81, WHEATON, MD 20902
(130) 140-4814
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
01/02/2024
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