Life Therapy Specialists Of Md, Llc

LBN: Life Therapy Specialists Of Md, Llc
Life Therapy Specialists Of Md, Llc is an health care organization with primary practice located at 1927A York Rd , Lutherville MD 21093-4225. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Life Therapy Specialists Of Md, Llc can be contacted via phone (443) 417-4243, or through Mastracco, Marie E via phone (443) 417-4243.

Contact Information

Primary practice address
1927A York Rd Lutherville MD 21093-4225
Phone: (443) 417-4243
Fax: (315) 245-0352
Website:
Map and Directions
Authorized official contact:
Name: Mastracco, Marie E LCPC
Phone: (443) 417-4243

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC2273 Maryland

Profile Details

NPI number 1114225810
LBN Legal business name Life Therapy Specialists Of Md, Llc
DBA Doing business as
Authorized official Mastracco, Marie E LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2011
Last updated Mar 3rd, 2011 - about 14 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 1114225810 NPPES
Maryland MEDICAID 922801200

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