Provider Demographics
NPI:1740012236
Name:SLOWLY BEHAVIORAL CONSULTING GROUP LLC
Entity type:Organization
Organization Name:SLOWLY BEHAVIORAL CONSULTING GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:CPAT, CPC, CTLC, CS
Authorized Official - Phone:443-567-6120
Mailing Address - Street 1:8101 SANDY SPRING RD STE 250D
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-3527
Mailing Address - Country:US
Mailing Address - Phone:240-389-5363
Mailing Address - Fax:
Practice Address - Street 1:8101 SANDY SPRING RD STE 250D
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-3527
Practice Address - Country:US
Practice Address - Phone:240-389-5363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty