Provider Demographics
NPI:1578130357
Name:MY HEALTH, LLC
Entity Type:Organization
Organization Name:MY HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MYRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DIATTA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:301-728-3574
Mailing Address - Street 1:3425 LONDONLEAF LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-2902
Mailing Address - Country:US
Mailing Address - Phone:301-728-3574
Mailing Address - Fax:
Practice Address - Street 1:14502 GREENVIEW DR # 500-L21
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-3287
Practice Address - Country:US
Practice Address - Phone:202-390-6990
Practice Address - Fax:940-514-9077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty