Premier Wellness Healthcare
LBN: Premier Wellness Healthcare
Premier Wellness Healthcare is an health care organization with primary practice located at 103 N Main St , Bel Air MD 21014-3539. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Premier Wellness Healthcare can be contacted via phone (888) 333-1345, or through Dicara, Cynthia via phone (888) 333-1345.
Contact Information
Primary practice address
103 N Main St
Bel Air MD 21014-3539
Phone: (888) 333-1345
Fax: (888) 653-0154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X |
Profile Details
| NPI number | 1376087635 |
|---|---|
| LBN Legal business name | Premier Wellness Healthcare |
| DBA Doing business as | |
| Authorized official | Dicara, Cynthia |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 6th, 2016 |
| Last updated | Apr 9th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376087635 | NPPES |
| Maryland | MEDICAID | 7635036-00 |
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