Provider Demographics
NPI:1720837651
Name:APPOINTED TIME MENTAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:APPOINTED TIME MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MUTHEE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:443-635-5572
Mailing Address - Street 1:202 SIPPLE AVE
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4226
Mailing Address - Country:US
Mailing Address - Phone:443-635-5572
Mailing Address - Fax:
Practice Address - Street 1:202 SIPPLE AVE
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-4226
Practice Address - Country:US
Practice Address - Phone:443-635-5572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty