TARGET BEHAVIORAL HEALTH SERVICES LLC NPI 1235749771

NPI Information

  • NPI: 1235749771
  • Provider Name: TARGET BEHAVIORAL HEALTH SERVICES, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • :
  • Address: 15 E CHURCHVILLE RD STE 106
    BEL AIR, MD
    ZIP 21014
  • Phone: (410) 888-7143

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NPI Details

TARGET BEHAVIORAL HEALTH SERVICES, LLC is a psychiatric/mental health nurse practitioner in Bel Air, MD. TARGET BEHAVIORAL HEALTH SERVICES, LLC NPI is 1235749771. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

15 E CHURCHVILLE RD STE 106
BEL AIR, MD
ZIP 21014-837
Phone: (410) 888-7143
Fax: (410) 888-7145

The provider's authorized official is Folashade Kanimodo .
The authorized official title is Ceo and has the following contact phone number (410) 900-8897.

The enumeration date for this NPI number is 8/7/2020 and was last updated on 7/9/2025.

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
1363LF0000XNurse PractitionerFamilyNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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