ALIVE INTIMACY LLC NPI 1366063208

NPI Information

  • NPI: 1366063208
  • Provider Name: ALIVE INTIMACY LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 2131 DEFENSE HWY STE 2
    CROFTON, MD
    ZIP 21114
  • Phone: (301) 960-8491

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NPI Details

ALIVE INTIMACY LLC is an adult mental health clinic center in Crofton, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ALIVE INTIMACY LLC NPI is 1366063208. The provider is registered as an organization entity type.

The provider's business location address is:

2131 DEFENSE HWY STE 2
CROFTON, MD
ZIP 21114-421
Phone: (301) 960-8491

The provider's authorized official is Rachel Keller .
The authorized official title is Therapist and has the following contact phone number (301) 960-8491.

The enumeration date for this NPI number is 5/1/2020 and was last updated on 7/24/2020.

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
1261QM0850XClinic/CenterAdult 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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