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Angy Wellness and Behavioral Healthcare LLC

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Joppa, MD

NPI 1508549338 · NPPES record last updated Aug 9, 2023

Key facts

NPI
1508549338
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Legal business name
ANGY WELLNESS AND BEHAVIORAL HEALTHCARE LLC
Practice address
903 Shenandoah CT
Joppa, MD 21085-4826
Phone
(436) 553-2324
NPI assigned
Aug 9, 2023
Organization subpart
No

Authorized official

Name
Angela Onyebadi, PMHNP
Title
Owner
Phone
(436) 553-2324

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230927004171 MD Part B Supplier - Clinic/Group Practice 6608220405 Receives reassigned benefits from 1 practitioner
Practice locations: Joppa, MD

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP		 363LP0808X Yes

Addresses

Primary practice location

903 Shenandoah CT
Joppa, MD 21085-4826

Mailing address

903 Shenandoah CT
Joppa, MD 21085-4826
Phone (436) 553-2324

Other providers in Joppa, MD

All providers in Joppa, MD · Psychiatric/Mental Health Nurse Practitioner in Maryland

Sources for this page

Verify at the official NPI Registry.