Activision Fidelity Psychiatric Mental Health Llc

LBN: Activision Fidelity Psychiatric Mental Health Llc
Activision Fidelity Psychiatric Mental Health Llc is an health care organization with primary practice located at 2409 Baikal Loop , Upper Marlboro MD 20774-7051. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Activision Fidelity Psychiatric Mental Health Llc can be contacted via phone (301) 907-1199, or through Amanze, Kenny via phone (301) 907-1199.

Contact Information

Primary practice address
2409 Baikal Loop Upper Marlboro MD 20774-7051
Phone: (301) 907-1199
Fax: (240) 342-3440
Website:
Map and Directions
Authorized official contact:
Name: Amanze, Kenny CRNP-PMH
Phone: (301) 907-1199

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1952008880
LBN Legal business name Activision Fidelity Psychiatric Mental Health Llc
DBA Doing business as
Authorized official Amanze, Kenny CRNP-PMH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2023
Last updated Feb 10th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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