| Lifespan Behavioral Health Services Pc | |
|
1003 W 7th St Ste 200 Frederick MD 21701-4106 | |
| (301) 245-6300 | |
| Not Available |
| Full Name | Lifespan Behavioral Health Services Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1003 W 7th St Ste 200, Frederick, Maryland |
| Authorized Official Name and Position | Joshua Sussal (MD/CEO) |
| Authorized Official Contact | 3019823437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Behavioral Health Services Pc 1003 W 7th St Ste 200 Frederick MD 21701-4106 Ph: (301) 245-6300 | Lifespan Behavioral Health Services Pc 1003 W 7th St Ste 200 Frederick MD 21701-4106 Ph: (301) 245-6300 |
| NPI Number | 1003562299 |
|---|---|
| Provider Enumeration Date | 02/25/2022 |
| Last Update Date | 02/25/2022 |
| Certification Date | 02/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003562299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Carol Van Doorn, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 209 Center St, Frederick, MD 21701 Phone: 301-351-7421 | |
Occupational Therapy Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 47 E South St, Suite 01-a, Frederick, MD 21701 Phone: 240-457-9558 Fax: 240-415-9200 | |
Maryland Center For Gender & Intimacy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 W Patrick St, Frederick, MD 21701 Phone: 301-360-4349 | |
Family Care Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3508 Worthington Blvd Unit 101, Frederick, MD 21704 Phone: 301-330-0006 | |
Bls Diagnostics Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8435 Progress Dr Ste Ee, Frederick, MD 21701 Phone: 866-526-8088 | |
Peaceful Mind Healing Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5301 Buckeystown Pike Ste 440, Frederick, MD 21704 Phone: 240-651-3890 Fax: 240-815-6015 |