Makonnen Therapeutic Services

LBN: Makonnen Therapeutic Services
Makonnen Therapeutic Services is an health care organization with primary practice located at 881 Flagler Dr , Gaithersburg MD 20878-1968. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Makonnen Therapeutic Services can be contacted via phone (410) 422-3386, or through Makonnen, Raejon Lynne via phone (410) 422-3386.

Contact Information

Primary practice address
881 Flagler Dr Gaithersburg MD 20878-1968
Phone: (410) 422-3386
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Makonnen, Raejon Lynne
Phone: (410) 422-3386

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC7426 Maryland

Profile Details

NPI number 1558893586
LBN Legal business name Makonnen Therapeutic Services
DBA Doing business as
Authorized official Makonnen, Raejon Lynne
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2017
Last updated Mar 29th, 2017 - about 7 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 1558893586 NPPES
Maryland MEDICAID 1143824

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