| Advocate Behavioral Health, Llc | |
|
10665 Stanhaven Pl Suite 300a Unit 3109 White Plains MD 20695-3055 | |
| (301) 538-3899 | |
| Not Available |
| Full Name | Advocate Behavioral Health, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10665 Stanhaven Pl, White Plains, Maryland |
| Authorized Official Name and Position | Tatiana H Rodriguez Vrem (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3015383899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advocate Behavioral Health, Llc 10665 Stanhaven Pl Suite 300a Unit 3109 White Plains MD 20695-3055 Ph: (301) 538-3899 | Advocate Behavioral Health, Llc 10665 Stanhaven Pl Suite 300a Unit 3109 White Plains MD 20695-3055 Ph: (301) 538-3899 |
| NPI Number | 1306187950 |
|---|---|
| Provider Enumeration Date | 03/06/2013 |
| Last Update Date | 03/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306187950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCA1813 (Maryland) | Secondary |
| 101YP2500X | Counselor - Professional | LC1917 (Maryland) | Primary |
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