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VICTORY BEHAVIORAL SOLUTIONS LLC NPI 1336859784


NPI Information

NPI: 1336859784
Provider Name: VICTORY BEHAVIORAL SOLUTIONS LLC

Doing Business As: VBS - VICTORY BEHAVIORAL SOLUTIONS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
8831 SATYR HILL RD STE 107
BALTIMORE, MD
ZIP 21234
Phone: (443) 838-1700
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VICTORY BEHAVIORAL SOLUTIONS LLC is a mental health (including community mental health center) clinic center in Baltimore, MD. VICTORY BEHAVIORAL SOLUTIONS LLC NPI is 1336859784. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vbs - Victory Behavioral Solutions.

The provider's business location address is:

8831 SATYR HILL RD STE 107
BALTIMORE, MD
ZIP 21234-437
Phone: (443) 838-1700

The provider's authorized official is Marcella Jackson .
The authorized official title is Ceo and has the following contact phone number (443) 388-0211.

The enumeration date for this NPI number is 11/28/2022 and was last updated on 4/23/2024.


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
1101YM0800XCounselorMental HealthNo
21041C0700XSocial WorkerClinicalNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
4261QM0850XClinic/CenterAdult Mental HealthNo
5261QM0855XClinic/CenterAdolescent and Children Mental HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11336859784MEDICAIDMARYLAND

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.