| Lch Behavioral Health, Inc. | |
|
9055 Shady Grove Ct Gaithersburg MD 20877-1301 | |
| (301) 330-0400 | |
| (301) 948-4333 |
| Full Name | Lch Behavioral Health, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9055 Shady Grove Ct, Gaithersburg, Maryland |
| Authorized Official Name and Position | Lisa Gordon (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3019227837 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lch Behavioral Health, Inc. 3028 Greenmount Ave Unit 1005 Baltimore MD 21218-3938 Ph: (301) 922-7837 | Lch Behavioral Health, Inc. 9055 Shady Grove Ct Gaithersburg MD 20877-1301 Ph: (301) 330-0400 |
| NPI Number | 1801598438 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/19/2023 |
| Medicare PECOS PAC ID | 3072056472 |
|---|---|
| Medicare Enrollment ID | O20241008001654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801598438 | NPI | - | NPPES |
| Provider Name | Elizabeth A Stellhorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194709527 PECOS PAC ID: 5395893671 Enrollment ID: I20090424000016 |
| Provider Name | Aldrin O Ceballos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811275423 PECOS PAC ID: 6901078880 Enrollment ID: I20111019000457 |
| Provider Name | Lisa Green Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912921966 PECOS PAC ID: 3072603265 Enrollment ID: I20130214000018 |
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