Provider Demographics
NPI:1649091745
Name:JPP, L.C.
Entity type:Organization
Organization Name:JPP, L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:PIFFATH
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:443-520-1005
Mailing Address - Street 1:5667 COLUMBIA RD APT 202
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-1977
Mailing Address - Country:US
Mailing Address - Phone:443-520-1005
Mailing Address - Fax:410-489-4475
Practice Address - Street 1:3881 TEN OAKS RD STE 2A
Practice Address - Street 2:
Practice Address - City:GLENELG
Practice Address - State:MD
Practice Address - Zip Code:21737-9761
Practice Address - Country:US
Practice Address - Phone:443-520-1005
Practice Address - Fax:410-489-4475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health