UPPER BAY COUNSELING & SUPPORT SERVICES INC NPI 1346634680

NPI Information

NPI: 1346634680
Provider Name: UPPER BAY COUNSELING & SUPPORT SERVICES, INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
200 BOOTH ST
ELKTON, MD
ZIP 21921
Phone: (410) 996-3400
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UPPER BAY COUNSELING & SUPPORT SERVICES, INC is a mental health (including community mental health center) clinic center in Elkton, MD. UPPER BAY COUNSELING & SUPPORT SERVICES, INC NPI is 1346634680. The provider is registered as an organization entity type.

The provider's business location address is:

200 BOOTH ST
ELKTON, MD
ZIP 21921-657
Phone: (410) 996-3400
Fax: (410) 398-3416

The provider's authorized official is Suanne Blumberg .
The authorized official title is Ceo and has the following contact phone number (410) 996-5104.

The enumeration date for this NPI number is 3/25/2015 and was last updated on 7/14/2021.

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)	MH 1329	MARYLAND	Yes

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
1	922801200	MEDICAID	MARYLAND

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

NPI Synchronization or Removal

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