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Chontelai Patterson Mendie

Counselor

Behavioral Health & Social Service Providers

15602 Everglade Ln Apt 303, Bowie, MD 20716-3245

PECOS Enrollment

Based on the most recent information from CMS, provider Chontelai Patterson Mendie is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 32 days ago.

Profile Details

Provider ID
1538630967
Provider Type
Individual
Full Name
Patterson Mendie, Chontelai
Credential
LCPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/11/2018
Last Updated
4/7/2023

Contact Information

Practice Location

15602 Everglade Ln Apt 303, Bowie, MD 20716-3245

(646) 244-7633

Unlisted Fax

Mailing Location

15602 Everglade Ln Apt 303, Bowie, MD 20716-3245

(646) 244-7633

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License LC10348 Maryland
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License LC10348 Maryland

Chontelai Patterson Mendie

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Smaugh, Veronica Dawn

Kujawa, Christine Marie

Colbert, Chinita Mone'E

Parks, Robin Ibronke

Healing On Tap, Llc

Lee, Bianca Lavonne

Enough For Emmie Llc

Shephard, Terri Chanel

Proctor, Joann B

Mincey, Marcia