Provider Demographics
NPI:1851507685
Name:CENTER FOR MENTAL HEALTH, LLC
Entity Type:Organization
Organization Name:CENTER FOR MENTAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENA
Authorized Official - Middle Name:KAREN
Authorized Official - Last Name:LEIBOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCADC
Authorized Official - Phone:443-803-3848
Mailing Address - Street 1:222 BOSLEY AVE
Mailing Address - Street 2:SUITE C-3
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-4328
Mailing Address - Country:US
Mailing Address - Phone:443-803-3848
Mailing Address - Fax:410-321-9311
Practice Address - Street 1:222 BOSLEY AVE
Practice Address - Street 2:SUITE C-3
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-4328
Practice Address - Country:US
Practice Address - Phone:443-803-3848
Practice Address - Fax:410-321-9311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10027101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD10027OtherLICENSE