Amanda Sun, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Towson, MD. Organization (NPI-2).
NPI number1700409794
StatusActive
Last updated in NPPESMay 25, 2020
Details
- NPI
- 1700409794
- Entity type
- Organization (NPI-2)
- Legal business name
- Amanda Sun, LLC
- Organization subpart
- No
- Enumeration date
- May 25, 2020
- Certification date
- May 25, 2020
- Last updated
- May 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
1122 Kenilworth Dr Ste 100Towson, MD 21204-2142
Phone 425-233-9573
Mailing address
1122 Kenilworth Dr Ste 100Towson, MD 21204-2142
Authorized official
Amanda Yuan Sun
Psychiatrist
4252339573
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