HIGHTOWER BEHAVIORAL HEALTH NPI 1972140069

NPI Information

NPI: 1972140069
Provider Name: HIGHTOWER BEHAVIORAL HEALTH
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 21D2183990

Address:
4505 BLACKBIRDS FOLLY LN
BOWIE, MD
ZIP 20720
Phone: (240) 602-7035
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HIGHTOWER BEHAVIORAL HEALTH is a psychiatric/mental health nurse practitioner in Bowie, MD. HIGHTOWER BEHAVIORAL HEALTH NPI is 1972140069. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4505 BLACKBIRDS FOLLY LN
BOWIE, MD
ZIP 20720-803
Phone: (240) 602-7035

The provider's authorized official is Mary Ogunlowo-omobhude .
The authorized official title is President and has the following contact phone number (240) 602-7035.

The CLIA number assigned to this NPI record is 21D2183990 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2019 and was last updated on 12/8/2019.

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			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: 5/5/2024

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