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AMA TRANSITIONAL SERVICES LLC NPI 1811412604


NPI Information

NPI: 1811412604
Provider Name: AMA TRANSITIONAL SERVICES, LLC

Doing Business As: AMA TRANSITIONAL SERVICES, LLC

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1407 LOCHNER RD STE 0
BALTIMORE, MD
ZIP 21239
Phone: (443) 475-0338
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AMA TRANSITIONAL SERVICES, LLC is a mental health (including community mental health center) clinic center in Baltimore, MD. AMA TRANSITIONAL SERVICES, LLC NPI is 1811412604. The provider is registered as an organization entity type.
The provider Is Doing Business As Ama Transitional Services, Llc.

The provider's business location address is:

1407 LOCHNER RD STE 0
BALTIMORE, MD
ZIP 21239-932
Phone: (443) 475-0338
Fax: (410) 561-1751

The provider's authorized official is Aldin L Gordon .
The authorized official title is Owner/therapist and has the following contact phone number (716) 465-6832.

The enumeration date for this NPI number is 8/14/2017 and was last updated on 9/15/2023.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)LC4829MARYLANDYes

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
11215103544MEDICAIDMARYLAND

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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