Restorative Behavior, Llc
LBN: Restorative Behavior, Llc
Restorative Behavior, Llc is an health care organization with primary practice located at 9701 Apollo Dr , Upper Marlboro MD 20774-4783. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Restorative Behavior, Llc can be contacted via phone (301) 798-6125, or through Mcclinnahan, Ebonique Katress via phone (910) 797-1491.
Contact Information
Primary practice address
9701 Apollo Dr
Upper Marlboro MD 20774-4783
Phone: (301) 798-6125
Fax: (301) 355-0276
Website:
Authorized official contact:
Name: Mcclinnahan, Ebonique Katress RN, MSN, PMHNP-BC
Phone: (910) 797-1491
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
| NPI number | 1518613264 |
|---|---|
| LBN Legal business name | Restorative Behavior, Llc |
| DBA Doing business as | |
| Authorized official | Mcclinnahan, Ebonique Katress RN, MSN, PMHNP-BC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 22nd, 2022 |
| Last updated | Mar 4th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518613264 | NPPES |
| Maryland | Other | 6660066. | AETNA |
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