Provider Demographics
NPI:1578219515
Name:HEALTH PLUS BEHAVIORAL AND PRIMARY CARE
Entity Type:Organization
Organization Name:HEALTH PLUS BEHAVIORAL AND PRIMARY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMDEM-SANGO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:240-354-1219
Mailing Address - Street 1:7818 SOMERSET CT
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3022
Mailing Address - Country:US
Mailing Address - Phone:240-370-4774
Mailing Address - Fax:
Practice Address - Street 1:7818 SOMERSET CT
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3022
Practice Address - Country:US
Practice Address - Phone:240-370-4774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-28
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health