Organization · NPI-2

All Joshua, LLC

Registered Nurse, Psych/Mental Health · Oxon Hill, MD

NPI number1285274522
StatusActive
Last updated in NPPESJan 15, 2020

Details

NPI
1285274522
Entity type
Organization (NPI-2)
Legal business name
All Joshua, LLC
Organization subpart
Yes
Enumeration date
Jan 15, 2020
Certification date
Jan 15, 2020
Last updated
Jan 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0808X Registered Nurse, Psych/Mental Health––Yes
101YM0800X Counselor, Mental Health––
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent––
163WP0809X Registered Nurse, Psych/Mental Health, Adult––
251S00000X Community/Behavioral Health––

Practice location

5620 Saint Barnabas Rd Ste 200
Oxon Hill, MD 20745-3628

Phone 240-253-2651 · Fax 240-493-6594

Mailing address

2568a Riva Rd Ste 202
Annapolis, MD 21401-7456

Phone 443-221-7447 · Fax 443-729-0620

Authorized official

Hawanya Tene Jerry
Medical Biller
4432217447

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