| Life Connection Behavioral Health Services, Llc | |
|
1515 Martin Blvd Ste 206 Middle River MD 21220-4103 | |
| (410) 365-1293 | |
| Not Available |
| Full Name | Life Connection Behavioral Health Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1515 Martin Blvd Ste 206, Middle River, Maryland |
| Authorized Official Name and Position | Torone Samuels (CEO) |
| Authorized Official Contact | 4103651293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Connection Behavioral Health Services, Llc 705 Walnut Grove Rd Baltimore MD 21221-6061 Ph: (410) 365-1293 | Life Connection Behavioral Health Services, Llc 1515 Martin Blvd Ste 206 Middle River MD 21220-4103 Ph: (410) 365-1293 |
| NPI Number | 1194498493 |
|---|---|
| Provider Enumeration Date | 08/01/2021 |
| Last Update Date | 08/01/2021 |
| Certification Date | 07/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194498493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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