Provider Demographics
NPI:1568845600
Name:GLOBAL RESOURCES & SUPPORT LLC
Entity Type:Organization
Organization Name:GLOBAL RESOURCES & SUPPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:ALISON
Authorized Official - Last Name:HEADLEY COPPIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSED;MSSPED
Authorized Official - Phone:301-585-3616
Mailing Address - Street 1:6475 NEW HAMPSHIRE AVE STE 750
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-3294
Mailing Address - Country:US
Mailing Address - Phone:443-813-9800
Mailing Address - Fax:
Practice Address - Street 1:1915 RHODE ISLAND AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-2441
Practice Address - Country:US
Practice Address - Phone:443-813-9800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-08
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC251C00000X, 320900000X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities