COMMUNITY BEHAVIORAL HEALTH LLC NPI 1881314334

NPI Information

NPI: 1881314334
Provider Name: COMMUNITY BEHAVIORAL HEALTH, LLC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
1140 BLADES FARM RD STE 202
DENTON, MD
ZIP 21629
Phone: (844) 224-5264
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COMMUNITY BEHAVIORAL HEALTH, LLC is a community health clinic center in Denton, MD. COMMUNITY BEHAVIORAL HEALTH, LLC NPI is 1881314334. The provider is registered as an organization entity type.

The provider's business location address is:

1140 BLADES FARM RD STE 202
DENTON, MD
ZIP 21629-489
Phone: (844) 224-5264

The provider's authorized official is Lacy Gilbert .
The authorized official title is Credentialing Manager and has the following contact phone number (844) 224-5264.

The enumeration date for this NPI number is 9/2/2022 and was last updated on 9/2/2022.

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	261QC1500X	Clinic/Center	Community Health			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	422612701	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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