Provider Demographics
NPI:1851770481
Name:OPEN CONVERSATIONS, LLC
Entity Type:Organization
Organization Name:OPEN CONVERSATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:S
Authorized Official - Last Name:BELTON
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:240-360-4765
Mailing Address - Street 1:575 MAIN STREET
Mailing Address - Street 2:SUITE 251
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707
Mailing Address - Country:US
Mailing Address - Phone:240-360-4765
Mailing Address - Fax:240-786-6672
Practice Address - Street 1:575 MAIN STREET
Practice Address - Street 2:SUITE 251
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707
Practice Address - Country:US
Practice Address - Phone:240-360-4765
Practice Address - Fax:240-786-6672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-28
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5222101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD502221500Medicaid
MD600957636OtherMAGELLAN HEALTHCARE
MD800095Medicaid
MDBE580000OtherCARE FIRST BLUE CROSS BLUE SHIELDS