Psychiatry Utopia LLC
Nurse Practitioner, Psych/Mental Health in Kensington, MD. Organization (NPI-2).
NPI number1962287136
StatusActive
Last updated in NPPESJan 2, 2024
Details
- NPI
- 1962287136
- Entity type
- Organization (NPI-2)
- Legal business name
- Psychiatry Utopia LLC
- Organization subpart
- No
- Enumeration date
- Aug 28, 2023
- Certification date
- Jan 2, 2024
- Last updated
- Jan 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
10400 Connecticut Ave Ste 311Kensington, MD 20895-3942
Phone 301-404-8147
Mailing address
2425 Georgia Ave Apt 81Wheaton, MD 20902
Phone 130-140-4814
Authorized official
Beserat Legesse Kibret
Pmhnp
3014048147
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