Provider Demographics
NPI:1134805419
Name:MY CARE CLINIC LLC
Entity type:Organization
Organization Name:MY CARE CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:HAMIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJILI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-705-2221
Mailing Address - Street 1:9229 DEER VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-2717
Mailing Address - Country:US
Mailing Address - Phone:240-705-2221
Mailing Address - Fax:
Practice Address - Street 1:8101 SANDY SPRING RD STE 250
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-3527
Practice Address - Country:US
Practice Address - Phone:443-312-9444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty