Provider Demographics
NPI:1972109346
Name:BEL AIR BEHAVIORAL SERVICES
Entity Type:Organization
Organization Name:BEL AIR BEHAVIORAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIZELOVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-418-3860
Mailing Address - Street 1:2206 OLD EMMORTON RD STE 100-311
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6172
Mailing Address - Country:US
Mailing Address - Phone:434-418-3860
Mailing Address - Fax:
Practice Address - Street 1:2206 OLD EMMORTON RD STE 100-311
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6172
Practice Address - Country:US
Practice Address - Phone:410-877-4148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health