Changing Generational Legacies,Llc

LBN: Changing Generational Legacies,Llc
Changing Generational Legacies,Llc is an health care organization with primary practice located at 1401 Mercantile Ln Suite 200-Q, Largo MD 20774-4301. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Changing Generational Legacies,Llc can be contacted via phone (301) 322-4141, or through Johnson, Debra Joyce via phone (301) 322-4141.

Contact Information

Primary practice address
1401 Mercantile Ln Suite 200-Q Largo MD 20774-4301
Phone: (301) 322-4141
Fax: (301) 322-9199
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Debra Joyce MS, LCPC
Phone: (301) 322-4141

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC3809 Maryland

Profile Details

NPI number 1598012155
LBN Legal business name Changing Generational Legacies,Llc
DBA Doing business as
Authorized official Johnson, Debra Joyce MS, LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2012
Last updated Aug 13th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598012155 NPPES
Maryland MEDICAID 040457800

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