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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 8 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

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License

Code

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License

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