| Legacy Treatment Llc | |
|
8610 Washington Blvd Jessup MD 20794-9499 | |
| (410) 824-8149 | |
| (410) 824-8371 |
| Full Name | Legacy Treatment Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 8610 Washington Blvd, Jessup, Maryland |
| Authorized Official Name and Position | Lloyd A Wynn (COO) |
| Authorized Official Contact | 9735588514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Treatment Llc 8610 Washington Blvd Ste 200 Jessup MD 20794-9499 Ph: (410) 824-8149 | Legacy Treatment Llc 8610 Washington Blvd Jessup MD 20794-9499 Ph: (410) 824-8149 |
| NPI Number | 1841765393 |
|---|---|
| Provider Enumeration Date | 10/11/2018 |
| Last Update Date | 10/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841765393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
John P. Geremia, Lcsw-c, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8331 Lincoln Dr, Jessup, MD 20794 Phone: 410-799-5092 Fax: 410-799-5092 | |
Mindful Moments, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8160 Washington Blvd, Jessup, MD 20794 Phone: 202-316-0228 | |
Inside Out Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1829 Montevideo Rd, Jessup, MD 20794 Phone: 832-661-0638 | |
Blue Rose Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8004 Red Jacket Way, Jessup, MD 20794 Phone: 443-629-9661 | |
Probity Healthcare Services & Clinic, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8609 Schappell Way, Jessup, MD 20794 Phone: 301-254-6807 | |
Christina L Rock Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8280 Patuxent Range Rd Ste B, Jessup, MD 20794 Phone: 443-610-6151 Fax: 410-451-1452 |