Provider Demographics
NPI:1437262680
Name:BAY LIFE SERVICES CORPORATION
Entity Type:Organization
Organization Name:BAY LIFE SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-558-1403
Mailing Address - Street 1:9105 FRANKLIN SQUARE DR STE 313
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3937
Mailing Address - Country:US
Mailing Address - Phone:443-777-2200
Mailing Address - Fax:443-777-2224
Practice Address - Street 1:9105 FRANKLIN SQUARE DR STE 313
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-3937
Practice Address - Country:US
Practice Address - Phone:443-777-2200
Practice Address - Fax:443-777-2224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD122311900Medicaid
MDKS90BAOtherCAREFIRST MD
MDR418OtherCAREFIRST DC
MDKS90BAOtherCAREFIRST MD
MDDA2027OtherRAILROAD MEDICARE
MDCH4404OtherRAILROAD MEDICARE