Provider Demographics
NPI:1285826578
Name:SPJ CONSULTANTS, INC
Entity Type:Organization
Organization Name:SPJ CONSULTANTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:GROSSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MED, MA
Authorized Official - Phone:410-571-6226
Mailing Address - Street 1:2661 RIVA RD
Mailing Address - Street 2:SUITE - 611
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7353
Mailing Address - Country:US
Mailing Address - Phone:410-571-6226
Mailing Address - Fax:410-571-7756
Practice Address - Street 1:2661 RIVA RD
Practice Address - Street 2:SUITE - 611
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7353
Practice Address - Country:US
Practice Address - Phone:410-571-6226
Practice Address - Fax:410-571-7756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC0787101YA0400X
MDSC0379101YA0400X
MDLCA256101YM0800X
MD10954101YM0800X
MDLC1233101YM0800X
MDBJ8336845101YM0800X
MDDO050605101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty