Provider Demographics
NPI:1952643421
Name:ADVOCATE HEALTH SERVICES,LLC
Entity Type:Organization
Organization Name:ADVOCATE HEALTH SERVICES,LLC
Other - Org Name:SYNERGY MENTAL HEALTH, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:BAER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MA
Authorized Official - Phone:410-638-5078
Mailing Address - Street 1:1109 TIMBERLEA DRIVE
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014
Mailing Address - Country:US
Mailing Address - Phone:410-638-5078
Mailing Address - Fax:
Practice Address - Street 1:37 NORTH PHILADELPHIA BLVD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001
Practice Address - Country:US
Practice Address - Phone:410-272-5913
Practice Address - Fax:410-272-5923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-22
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health