LIFETOUCH CLINICAL CONSULTANTS,LLC (NPI# 1417492141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417492141 |
Entity Type | Organization |
Organization Name | LIFETOUCH CLINICAL CONSULTANTS,LLC |
Practice Address |
4512 Doctor Beans Legacy Cir Bowie MD 20720-6384 |
Practice Telephone | 2022572130 |
Mailing Telephone | 2022572130 |
Enumeration Date | 2017-01-04 |
Last Update Date | 2017-01-23 |
Authorized Official Name | ESABELLA MAH TEBID MBAH (FNP-BC) |
Authorized Official Telephone | 2022572130 |
Authorized Official Credential | NP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
RN1009165 | DC | Ambulatory Health Care Facilities |
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
R174293 | MD | Ambulatory Health Care Facilities |
Street Address |
4512 DOCTOR BEANS LEGACY CIR |
City | BOWIE |
State | MD |
Zip Code | 20720-6384 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730511981 | Esabella Mah Tebid Mbah | Nurse Practitioner | 4512 Doctor Beans Legacy Cir, Bowie, MD 20720-6384 | 2013-07-30 |
1841730967 | P & E Compassionate Care, LLC | Case Management | 4512 Doctor Beans Legacy Cir, Bowie, MD 20720-6384 | 2017-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487293940 | Open Door Outreach Center | Meals | 13604 Old Annapolis Road, Bowie, MD 20720 | 2020-01-02 |
1447714316 | Sandra Williams | Durable Medical Equipment & Medical Supplies | 6413, Gwinnett Lane, Bowie, MD 20720 | 2019-01-24 |
1952896458 | Carolyn Simms | Counselor | 10111 Martin Luther King Hwy, Suite 103, Bowie, MD 20720 | 2018-06-27 |
1538652227 | Fabienne Bonaventure | Counselor | 13014 5th St, Bowie, MD 20720 | 2018-06-07 |
1225544356 | Clear Hearing Solutions, LLC | Audiologist-Hearing Aid Fitter | 12420f Fairwood Parkway, Suite 103, Bowie, MD 20720 | 2017-12-27 |
1083132419 | Abibatu Kamara | Behavioral Analyst | 4806 Silverbrook Way, Bowie, MD 20720 | 2017-09-06 |
1427576040 | Valor Health, Inc. | Art Therapist | 11310 Sperry Stream Way, Bowie, MD 20720 | 2017-09-04 |
1164944682 | Healing and Helping Practice | Psychologist | 14331 Old Stage Rd., Bowie, MD 20720 | 2017-07-17 |
1043749468 | Ccc Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4205 Hatties Progress Drive, Bowie, MD 20720 | 2017-06-08 |
1265969802 | Harry Thomas Washington Jr. | Counselor | 10111 Martin Luther King Jr. Highway, Suite 200, Bowie, MD 20720 | 2017-05-14 |
Find all providers in zip 20720 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518577808 | Grace Health Services, LLC | Clinic/Center | 406 E Tarrant St, Bowie, TX 76230-5113 | 2020-08-03 |
1558853762 | Assurance Mobile Health Solutions | Clinic/Center | 4305 Quanders Promise Dr, Bowie, MD 20720-4694 | 2018-06-04 |
1649799982 | Mai Health | Clinic/Center | 14553 London Ln, Bowie, MD 20715-2579 | 2017-09-19 |
1447792643 | Zybs Medical Group | Clinic/Center | 6805 Irene Ct, Bowie, MD 20720-3301 | 2016-11-06 |
1700104643 | Alpha Global Solutions LLC | Clinic/Center | 2277 Prince of Wales Ct, Bowie, MD 20716-1475 | 2010-05-16 |
1376180596 | Md Medical and Wellness Center | Clinic/Center | 4000 Mitchellville Rd Ste A308, Bowie, MD 20716-3135 | 2019-12-06 |
1881249944 | Z Cares Health LLC | Clinic/Center | 3233 Superior Ln Ste B4, Bowie, MD 20715-1940 | 2019-08-06 |
1235616475 | Health Releaf LLC | Clinic/Center | 4000 Mitchellville Rd Ste B322, Bowie, MD 20716-3176 | 2018-07-20 |
1033493838 | A. Plus Health Care Inc | Clinic/Center | 11001 Elon Dr, Bowie, MD 20720-3508 | 2011-09-29 |
1457652091 | Alpha Global Medical Services | Clinic/Center | 4000 Mitchellville Rd, Suite A406, Bowie, MD 20716-3104 | 2010-11-13 |
Find all providers in BOWIE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.