Provider Demographics
NPI:1518573427
Name:ADVANTAGE PSYCHIATRIC SERVICES LLC
Entity Type:Organization
Organization Name:ADVANTAGE PSYCHIATRIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PIXTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-686-3629
Mailing Address - Street 1:5024 CAMPBELL BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-5974
Mailing Address - Country:US
Mailing Address - Phone:410-686-3629
Mailing Address - Fax:410-780-7178
Practice Address - Street 1:5024 CAMPBELL BLVD STE A
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-5974
Practice Address - Country:US
Practice Address - Phone:410-686-3629
Practice Address - Fax:410-780-7178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health