OrganizationOmega Behavioral Clinic LlcNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4500 Forbes Blvd Ste 200, Lanham, MD 20706-6316(301) 520-6782PECOS EnrollmentBased on the most recent information from CMS, provider Omega Behavioral Clinic Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1841037728Provider TypeOrganizationFull NameOmega Behavioral Clinic LlcSubpartNoEnumeration Date7/9/2024Last Updated11/19/2024Contact InformationPractice LocationPractice Address4500 Forbes Blvd Ste 200, Lanham, MD 20706-6316Phone(301) 520-6782FaxUnlisted FaxMailing LocationMailing Address1202 Northern Lights Dr, Upper Marlboro, MD 20774-6049Phone(301) 520-6782FaxUnlisted FaxAuthorized OfficialNameTaiwo, Olufunke (Nurse Practioner)Phone(301) 520-6782Provider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer