Provider Demographics
NPI:1043589807
Name:CHESAPEAKE CHILDREN'S SERVICES LLC
Entity Type:Organization
Organization Name:CHESAPEAKE CHILDREN'S SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LEMMERT
Authorized Official - Last Name:NATIONS
Authorized Official - Suffix:
Authorized Official - Credentials:BCABA
Authorized Official - Phone:410-353-0677
Mailing Address - Street 1:8739 BRIGHT MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-2553
Mailing Address - Country:US
Mailing Address - Phone:410-353-0677
Mailing Address - Fax:410-874-7907
Practice Address - Street 1:8739 BRIGHT MEADOW CT
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-2553
Practice Address - Country:US
Practice Address - Phone:410-353-0677
Practice Address - Fax:410-874-7907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-23
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty