Provider Demographics
NPI:1922672989
Name:ELEGANTE BEE SERVICES LLC
Entity Type:Organization
Organization Name:ELEGANTE BEE SERVICES LLC
Other - Org Name:EB BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:MISS
Authorized Official - First Name:BUKOLA
Authorized Official - Middle Name:MORUFAT
Authorized Official - Last Name:ZUBAIR
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:240-633-9220
Mailing Address - Street 1:3600 LEONARDTOWN RD STE 202
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-3647
Mailing Address - Country:US
Mailing Address - Phone:240-633-9220
Mailing Address - Fax:240-635-9926
Practice Address - Street 1:1223 SIMMS PL NE APT 4
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-7826
Practice Address - Country:US
Practice Address - Phone:240-633-9220
Practice Address - Fax:240-635-9926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-14
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty