Provider Demographics
NPI:1780297465
Name:ASSURANCE THERAPEUTIC SERVICES, LLC
Entity type:Organization
Organization Name:ASSURANCE THERAPEUTIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEKEA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:240-468-7866
Mailing Address - Street 1:14605 ELM ST UNIT 1208
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20773-7543
Mailing Address - Country:US
Mailing Address - Phone:240-468-7866
Mailing Address - Fax:240-557-8014
Practice Address - Street 1:14605 ELM ST UNIT 1208
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20773-7543
Practice Address - Country:US
Practice Address - Phone:240-468-7866
Practice Address - Fax:240-557-8014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-24
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty