Provider Demographics
NPI:1285031575
Name:R. HUTCHISON., LLC
Entity Type:Organization
Organization Name:R. HUTCHISON., LLC
Other - Org Name:R.HUTCHISON BEHAVIORAL HEALTH & CONSULTATION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUTCHISON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:410-253-2824
Mailing Address - Street 1:32351 GEIB RD
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:MD
Mailing Address - Zip Code:21625-2363
Mailing Address - Country:US
Mailing Address - Phone:410-253-2824
Mailing Address - Fax:
Practice Address - Street 1:8221 TEAL DR
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-7227
Practice Address - Country:US
Practice Address - Phone:410-253-2824
Practice Address - Fax:855-273-7002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-02
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD153881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD752105700Medicaid