Organization · NPI-2

Clinical Support Services, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Easton, MD

NPI number1659193480
StatusActive
Last updated in NPPESSep 24, 2025

Details

NPI
1659193480
Entity type
Organization (NPI-2)
Legal business name
Clinical Support Services, LLC
Organization subpart
No
Enumeration date
Oct 31, 2024
Certification date
Sep 24, 2025
Last updated
Sep 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

501 Dutchmans Ln
Easton, MD 21601-3342

Phone 443-818-0135

Mailing address

1543 Governor Bridge Rd
Davidsonville, MD 21035-1514

Phone 443-677-0071

Other practice locations

1543 Governor Bridge Rd
Davidsonville, MD 21035-1514

Phone 443-677-0071

Authorized official

Laurie Pumphrey St Clair
Director
4436770071

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Easton, MD