Provider Demographics
NPI:1013762160
Name:HASANAT MENTAL HEALTH CARE, LLC
Entity Type:Organization
Organization Name:HASANAT MENTAL HEALTH CARE, LLC
Other - Org Name:HASANAT MENTAL HEALTH CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RESIDENT AGENT
Authorized Official - Prefix:
Authorized Official - First Name:AMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-899-8275
Mailing Address - Street 1:12219 MAJESTIC MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-5360
Mailing Address - Country:US
Mailing Address - Phone:240-899-8275
Mailing Address - Fax:
Practice Address - Street 1:12219 MAJESTIC MAPLE DR
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:MD
Practice Address - Zip Code:20871-5360
Practice Address - Country:US
Practice Address - Phone:240-899-8275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty