Takoma Therapy, Llc

LBN: Takoma Therapy, Llc
Takoma Therapy, Llc is an health care organization with primary practice located at 6930 Carroll Ave Ste 830 , Takoma Park MD 20912-4461. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Takoma Therapy, Llc can be contacted via phone (301) 802-5653, or through Jacobs, Simone via phone (301) 802-5653.

Contact Information

Primary practice address
6930 Carroll Ave Ste 830 Takoma Park MD 20912-4461
Fax:
Website:
Authorized official contact:
Name: Jacobs, Simone

Health care specialties

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

Profile Details

NPI number 1285135277
LBN Legal business name Takoma Therapy, Llc
DBA Doing business as
Authorized official Jacobs, Simone
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2018
Last updated Apr 23rd, 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 1285135277 NPPES
Maryland MEDICAID 416691400

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