Provider Demographics
NPI:1508552662
Name:AMK THERAPEUTIC SERVICES LLC
Entity Type:Organization
Organization Name:AMK THERAPEUTIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:MARION
Authorized Official - Last Name:KERR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:240-707-1028
Mailing Address - Street 1:1205 SHENANDOAH VIEW PKWY
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:MD
Mailing Address - Zip Code:21716-9776
Mailing Address - Country:US
Mailing Address - Phone:240-708-1028
Mailing Address - Fax:
Practice Address - Street 1:1205 SHENANDOAH VIEW PKWY
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:MD
Practice Address - Zip Code:21716-9776
Practice Address - Country:US
Practice Address - Phone:240-708-1028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty