Provider Demographics
NPI:1356645907
Name:EVERLY, HILDRETH, & PLATMAN BEHAVIORAL SERVICES
Entity Type:Organization
Organization Name:EVERLY, HILDRETH, & PLATMAN BEHAVIORAL SERVICES
Other - Org Name:EHP BEHAVIORAL SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REIMBURSEMENT OPERATIONS, DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-554-2894
Mailing Address - Street 1:3333 N CALVERT ST
Mailing Address - Street 2:SUITE 670
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2867
Mailing Address - Country:US
Mailing Address - Phone:410-554-2894
Mailing Address - Fax:410-554-6603
Practice Address - Street 1:201 E UNIVERSITY PKWY
Practice Address - Street 2:UNION MEMORIAL HOSPITAL
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2829
Practice Address - Country:US
Practice Address - Phone:410-554-2894
Practice Address - Fax:410-554-6603
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EHP BEHAVIORAL SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-12-22
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD220281600Medicaid
MDKN76Medicare PIN