PRESTIGE BEHAVIORAL HEALTH LLC NPI 1326633595

NPI Information

NPI: 1326633595
Provider Name: PRESTIGE BEHAVIORAL HEALTH LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
6221 GREENLEIGH AVE UNIT 277
BALTIMORE, MD
ZIP 21220
Phone: (443) 519-6409
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PRESTIGE BEHAVIORAL HEALTH LLC is a psychiatric/mental health nurse practitioner in Baltimore, MD. PRESTIGE BEHAVIORAL HEALTH LLC NPI is 1326633595. The provider is registered as an organization entity type.

The provider's business location address is:

6221 GREENLEIGH AVE UNIT 277
BALTIMORE, MD
ZIP 21220-018
Phone: (443) 519-6409

The provider's authorized official is Marshall Middle Name James .
The authorized official title is Ceo and has the following contact phone number (443) 519-6409.

The enumeration date for this NPI number is 3/9/2021 and was last updated on 11/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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