Collaborative Concepts Of Maryland

LBN: Collaborative Concepts Of Maryland
Collaborative Concepts Of Maryland is an health care organization with primary practice located at 1400 Mercantile Lane, Suite 208 , Largo MD 20774. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Collaborative Concepts Of Maryland can be contacted via phone (301) 318-1148, or through Newton-Guest, Shirley R. via phone (301) 318-1148.

Contact Information

Primary practice address
1400 Mercantile Lane, Suite 208 Largo MD 20774
Phone: (301) 318-1148
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Newton-Guest, Shirley R. LCSW-C
Phone: (301) 318-1148

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1861968489
LBN Legal business name Collaborative Concepts Of Maryland
DBA Doing business as
Authorized official Newton-Guest, Shirley R. LCSW-C
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2018
Last updated Oct 22nd, 2018 - about 6 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 1861968489 NPPES
Maryland MEDICAID 062835200
Maryland MEDICAID 512512000

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