Provider Demographics
NPI:1235903139
Name:LUMEN CHRISTI MEDICAL & BEHAVIORAL HEALTH, LLC.
Entity Type:Organization
Organization Name:LUMEN CHRISTI MEDICAL & BEHAVIORAL HEALTH, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIEDU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-562-0480
Mailing Address - Street 1:9801 GREENBELT RD STE 318
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-6231
Mailing Address - Country:US
Mailing Address - Phone:443-562-0480
Mailing Address - Fax:
Practice Address - Street 1:9801 GREENBELT RD STE 318
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-6231
Practice Address - Country:US
Practice Address - Phone:443-562-0480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)