KIMBERLEY ANN HOULIHAN LLC (NPI# 1316576499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316576499 |
| Entity Type | Organization |
| Organization Name | KIMBERLEY ANN HOULIHAN LLC |
| Practice Address |
30550 Gordy Mill Rd Delmar MD 21875-2043 |
| Mailing Address |
30339 Foskey Ln Delmar MD 21875-2000 |
| Practice Telephone | 4104309580 |
| Mailing Telephone | 4104309580 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | KIMBERLEY ANN HOULIHAN (MEMBER) |
| Authorized Official Telephone | 4104309580 |
| Authorized Official Credential | LCSW C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
30550 GORDY MILL RD |
| City | DELMAR |
| State | MD |
| Zip Code | 21875-2043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790222537 | Kimberley Houlihan | Social Worker | 30550 Gordy Mill Rd, Delmar, MD 21875-2043 | 2017-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922115542 | Beatrice Hamilton | Counselor | 28 East State Street, Delmar, MD 21875 | 2006-08-23 |
| 1194171389 | Delmarva Counseling Center LLC | Clinic/Center | 28 E State St, Delmar, MD 21875-1601 | 2016-05-06 |
| 1811331150 | Delmarva Counseling Center LLC | Counselor | 28 E State St, Delmar, MD 21875-1601 | 2013-04-17 |
| 1205103355 | Delmarva Counseling Center | Early Intervention Provider Agency | 28 E State St, Delmar, MD 21875-1601 | 2011-11-17 |
| 1760482004 | Donna N. Jacobs | Dentist | 4 E Chestnut St, Delmar, MD 21875-1610 | 2005-07-28 |
| 1578811691 | Delmar Manor | Assisted Living Facility | 31093 E Line Rd, Delmar, MD 21875-2015 | 2012-08-21 |
| 1871880740 | Mohammad Mustafa Choudhry | Internal Medicine | 8990 Morgans Ridge Dr, Delmar, MD 21875-2083 | 2011-06-29 |
| 1154629764 | Bimal Chandra Das | Pharmacist | 1301 E State St, Delmar, MD 21875-2330 | 2011-03-06 |
| 1548354947 | Rite Aid of Maryland Inc | Durable Medical Equipment & Medical Supplies | 1301 East State Street, Delmar, MD 21875-2330 | 2006-10-03 |
| 1588202600 | Nichole Holland | Nurse Practitioner | 9315 Ocean Hwy Ste B, Delmar, MD 21875-2339 | 2019-12-19 |
| Find all providers in zip 21875 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.