Icon Clinic Llc

LBN: Icon Clinic Llc
Icon Clinic Llc is an health care organization with primary practice located at 6128 Landover Rd , Cheverly MD 20785-1016. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Icon Clinic Llc can be contacted via phone (202) 288-7752, or through Egwuatu, Thickness Patrick via phone (202) 288-7752.

Contact Information

Primary practice address
6128 Landover Rd Cheverly MD 20785-1016
Phone: (202) 288-7752
Fax: (303) 552-9381
Website:
Map and Directions
Authorized official contact:
Name: Egwuatu, Thickness Patrick BC-PMHNP
Phone: (202) 288-7752

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1245808666
LBN Legal business name Icon Clinic Llc
DBA Doing business as
Authorized official Egwuatu, Thickness Patrick BC-PMHNP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2021
Last updated Aug 9th, 2021 - about 3 years ago

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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