| Blueprint Behavioral Health, Llc | |
|
8209 Meadowood Dr Hanover MD 21076-1193 | |
| (240) 278-7866 | |
| Not Available |
| Full Name | Blueprint Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8209 Meadowood Dr, Hanover, Maryland |
| Authorized Official Name and Position | Lanora Dennis (CEO/PSYCHOTHERAPIST) |
| Authorized Official Contact | 2402787866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blueprint Behavioral Health, Llc 8209 Meadowood Dr Hanover MD 21076-1193 Ph: (240) 278-7866 | Blueprint Behavioral Health, Llc 8209 Meadowood Dr Hanover MD 21076-1193 Ph: (240) 278-7866 |
| NPI Number | 1023732906 |
|---|---|
| Provider Enumeration Date | 10/03/2022 |
| Last Update Date | 10/03/2022 |
| Certification Date | 09/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023732906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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