EDCHA BEHAVIORAL HEALTH LLC NPI 1245745918

NPI Information

NPI: 1245745918
Provider Name: EDCHA BEHAVIORAL HEALTH, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
2670 CRAIN HWY STE 401
WALDORF, MD
ZIP 20601
Phone: (240) 419-2412
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EDCHA BEHAVIORAL HEALTH, LLC is a psychiatric/mental health nurse practitioner in Waldorf, MD. EDCHA BEHAVIORAL HEALTH, LLC NPI is 1245745918. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2670 CRAIN HWY STE 401
WALDORF, MD
ZIP 20601-818
Phone: (240) 419-2412
Fax: (240) 419-2495

The provider's authorized official is Edner Charles .
The authorized official title is Crnp/ Owner and has the following contact phone number (240) 419-2412.

The enumeration date for this NPI number is 12/4/2017 and was last updated on 12/4/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R229551	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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