Smb Behavorial Health Service, LLC
Nurse Practitioner, Psych/Mental Health in Bel Air, MD. Organization (NPI-2).
NPI number1003501313
StatusActive
Last updated in NPPESApr 18, 2023
Details
- NPI
- 1003501313
- Entity type
- Organization (NPI-2)
- Legal business name
- Smb Behavorial Health Service, LLC
- Organization subpart
- No
- Enumeration date
- Apr 11, 2023
- Certification date
- Apr 18, 2023
- Last updated
- Apr 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
16a Bel Air South Pkwy Ste 321Bel Air, MD 21015-6038
Phone 667-298-6361
Mailing address
16a Bel Air South Pkwy Ste 321Bel Air, MD 21015-6038
Phone 667-298-6361
Authorized official
Scherra Boarman
Pmhnp-Bc
6672986361
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