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BLUE RIDGE BEHAVIORAL HEALTH SERVICES LLC NPI 1508862392


NPI Information

NPI: 1508862392
Provider Name: BLUE RIDGE BEHAVIORAL HEALTH SERVICES, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
170 THOMAS JOHNSON DR
STE 200
FREDERICK, MD
ZIP 21702
Phone: (301) 695-8390
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BLUE RIDGE BEHAVIORAL HEALTH SERVICES, LLC is a mental health counselor in Frederick, MD. BLUE RIDGE BEHAVIORAL HEALTH SERVICES, LLC NPI is 1508862392. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

170 THOMAS JOHNSON DR
STE 200
FREDERICK, MD
ZIP 21702-200
Phone: (301) 695-8390
Fax: (301) 694-7906

The provider's authorized official is Laurie M. Lepeonke .
The authorized official title is Office Manager and has the following contact phone number (301) 695-8390.

The enumeration date for this NPI number is 6/26/2005 and was last updated on 5/24/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2103T00000XPsychologistNo
3235Z00000XSpeech-Language PathologistNo
4101YM0800XCounselorMental HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1580LMEDICARE ID-TYPE UNSPECIFIEDMARYLANDMEDICARE

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

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