Kingdom Behavioral Health Llc

LBN: Kingdom Behavioral Health Llc
Kingdom Behavioral Health Llc is an health care organization with primary practice located at 5 Public Sq Ste 213 , Hagerstown MD 21740-5599. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Kingdom Behavioral Health Llc can be contacted via phone (240) 284-4641, or through Bello, Taofeek via phone (240) 284-4641.

Contact Information

Primary practice address
5 Public Sq Ste 213 Hagerstown MD 21740-5599
Phone: (240) 284-4641
Fax: (240) 284-4671
Website:
Map and Directions
Authorized official contact:
Name: Bello, Taofeek NURSE PRACTITIONER
Phone: (240) 284-4641

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1750904314
LBN Legal business name Kingdom Behavioral Health Llc
DBA Doing business as
Authorized official Bello, Taofeek NURSE PRACTITIONER
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2020
Last updated Jun 3rd, 2020 - about 4 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 1750904314 NPPES
Maryland MEDICAID 007559100

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