Your Support Service

LBN: Your Support Service
Your Support Service is an health care organization with primary practice located at 10111 Martin Luther King Jr Hwy Ste 104 , Bowie MD 20720-4225. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Your Support Service can be contacted via phone (301) 209-7233, or through Simms, Carolyn via phone (301) 209-7233.

Contact Information

Primary practice address
10111 Martin Luther King Jr Hwy Ste 104 Bowie MD 20720-4225
Phone: (301) 209-7233
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Simms, Carolyn LCPC
Phone: (301) 209-7233

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1457866022
LBN Legal business name Your Support Service
DBA Doing business as
Authorized official Simms, Carolyn LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2017
Last updated Aug 4th, 2023 - about last year

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 1457866022 NPPES
Maryland MEDICAID 660009300

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