Provider Demographics
NPI:1144820200
Name:SUUNA CHI HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:SUUNA CHI HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:NWANA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:443-803-5391
Mailing Address - Street 1:6609 REISTERSTOWN RD STE 201
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-2634
Mailing Address - Country:US
Mailing Address - Phone:301-604-4830
Mailing Address - Fax:
Practice Address - Street 1:6609 REISTERSTOWN RD STE 201
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-2634
Practice Address - Country:US
Practice Address - Phone:301-604-4830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryGroup - Multi-Specialty