| Lifespan Behavioral Health Services Pc | |
|
3460 Olney Laytonsville Rd Ste 212 Olney MD 20832-3701 | |
| (301) 982-3437 | |
| (301) 982-9452 |
| Full Name | Lifespan Behavioral Health Services Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3460 Olney Laytonsville Rd Ste 212, Olney, 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 3416 Olandwood Ct Ste 201 Olney MD 20832-1373 Ph: (301) 969-4060 | Lifespan Behavioral Health Services Pc 3460 Olney Laytonsville Rd Ste 212 Olney MD 20832-3701 Ph: (301) 982-3437 |
| NPI Number | 1114673308 |
|---|---|
| Provider Enumeration Date | 02/25/2022 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114673308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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