Provider Demographics
NPI:1669676565
Name:TATEIOMS, LLC
Entity Type:Organization
Organization Name:TATEIOMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:MARLENE
Authorized Official - Last Name:SHARBER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:301-362-0090
Mailing Address - Street 1:14502 GREENVIEW DR STE 340
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-4227
Mailing Address - Country:US
Mailing Address - Phone:301-362-0090
Mailing Address - Fax:301-362-0092
Practice Address - Street 1:14502 GREENVIEW DR STE 340
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-4227
Practice Address - Country:US
Practice Address - Phone:301-362-0090
Practice Address - Fax:301-362-0092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health