Provider Demographics
NPI:1205507514
Name:PS PROGRAMS, LLC
Entity type:Organization
Organization Name:PS PROGRAMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMEKA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LGPC
Authorized Official - Phone:443-327-8292
Mailing Address - Street 1:643 ANDREWS RD
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-1705
Mailing Address - Country:US
Mailing Address - Phone:410-776-9612
Mailing Address - Fax:443-360-3767
Practice Address - Street 1:643 ANDREWS RD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-1705
Practice Address - Country:US
Practice Address - Phone:410-776-9612
Practice Address - Fax:443-360-3767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-26
Last Update Date:2021-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health