CONNIE WESLEY LCMFT LLC


Address: 111 Holling Dr, Frederick, MD 21701-5051
Phone: 4434186646

CONNIE WESLEY LCMFT LLC (NPI# 1518577170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518577170
Entity Type Organization
Organization Name CONNIE WESLEY LCMFT LLC
Practice Address 111 Holling Dr
Frederick
MD 21701-5051
Mailing Address 1562 Dockside Dr
Frederick
MD 21701-4473
Practice Telephone 4434186646
Mailing Telephone 4434186646
Enumeration Date 2020-08-07
Last Update Date 2020-08-07
Authorized Official Name CONSTANCE WESLEY (MARRIAGE AND FAMILY THERAPIST)
Authorized Official Telephone 4434186646
Authorized Official Credential MS, LCMFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 111 HOLLING DR
City FREDERICK
State MD
Zip Code 21701-5051

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NPI Name Taxonomy Address Enumeration
1225670045 Alana Earp Social Worker 810 Toll House Avenue, Frederick, MD 21701 2019-10-14
1851866065 Main Place Treatment Centers LLC. Clinic/Center 127 S. Smallwood Street, Frederick, MD 21701 2018-10-04
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1063917938 Kristin Deely Nurse Practitioner 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 2018-03-24
1689180119 Harwood Behavioral Health Partners, LLC Community/Behavioral Health 300 B Scholls Lane, Frederick, MD 21701 2017-12-20
1326590068 Natalie Reid Nurse Practitioner 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 2016-10-28
1649727967 Scl Corpration In Home Supportive Care 550 Highland Street, Suite 110, Frederick, MD 21701 2016-09-02
1891159661 Wellave, LLC Clinic/Center 411 Aviation Way Ste 245, Frederick, MD 21701 2016-04-07
1144694969 Leslee Bry Counselor 120 W Church St Ste 3b, Frederick, MD 21701 2015-11-17
1851797732 Frederick Dental Dentist 401 W 7th Street, Frederick Dental, Frederick, MD 21701 2014-11-05
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609495381 Kema Health Services Community/Behavioral Health 2083 Buell Dr, Frederick, MD 21702-3284 2020-04-13
1780215293 Andrew Campbell Counseling, LLC Community/Behavioral Health 1 W Church St Ste 3, Frederick, MD 21701-5992 2020-02-03
1689180119 Harwood Behavioral Health Partners, LLC Community/Behavioral Health 300 B Scholls Lane, Frederick, MD 21701 2017-12-20
1861917395 Child Quest LLC Community/Behavioral Health 5716 Industry Ln Ste G, Frederick, MD 21704-5201 2017-08-05
1104352368 Mentor-maryland Community/Behavioral Health 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 2017-05-10
1467983171 Aaron Todd Heaton Psychologist Community/Behavioral Health 365 W Patrick St, Suite 205, Frederick, MD 21701-4854 2017-03-23
1609326842 Family Support Services Community/Behavioral Health 300 W. Patrick St, Frederick, MD 21701-4914 2016-10-12
1245603802 Way Station, Inc. Community/Behavioral Health 10304 Putman Rd, Frederick, MD 21702-1838 2015-11-04
1487082293 Btst Services LLC Community/Behavioral Health 7190 Crestwood Blvd Ste 400, Frederick, MD 21703-7318 2013-10-15
1669713509 Blb Counseling Community/Behavioral Health 65 Thomas Johnson Dr Ste A, Frederick, MD 21702-4371 2013-03-01
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Competitor

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City FREDERICK
Zip Code 21701

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Dataset Information

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.

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