BROOK LANE BEHAVIORAL SERVICES, INC. (NPI# 1871983320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871983320 |
| Entity Type | Organization |
| Organization Name | BROOK LANE BEHAVIORAL SERVICES, INC. |
| Other Organization Name | LAUREL HALL SCHOOL / FREDERICK |
| Practice Address |
4540 B-d Mack Ave Frederick MD 21701 |
| Mailing Address |
13121 Brook Lane Hagerstown MD 21742-1435 |
| Practice Telephone | 3017330330 |
| Practice Fax Number | 3017334038 |
| Mailing Telephone | 3017330330 |
| Mailing Fax Number | 3017334038 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2018-10-01 |
| Authorized Official Name | JAMIE LEA BARKDOLL (CRED COORDINATOR) |
| Authorized Official Telephone | 3017330331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
4010 | MD | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Laurel Hall School / Frederick | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558648410 | Brook Lane Behavioral Services, Inc. | Psychiatric Hospital | 4540b Mack Avenue, Frederick, MD 21701 | 2011-11-07 |
| 1144703109 | Brook Lane Behavioral Services, Inc. | Psychiatric Hospital | 13215 Brook Lane, Hagerstown, MD 21742-1495 | 2018-09-14 |
| 1962985929 | Brook Lane Behavioral Services, Inc. | Psychiatric Unit | 13215 Brook Lane, Hagerstown, MD 21742 | 2018-09-14 |
| 1538647748 | Brook Lane Behavioral Services, Inc. | Counselor | 13215 Brook Lane, Outpatient Services, Hagerstown, MD 21742 | 2018-07-31 |
| 1538657630 | Brook Lane Behavioral Services, Inc. | Clinic/Center | 5301 Buckeystown Pike, Frederick, MD 21704-8370 | 2018-04-25 |
| 1003304106 | Brook Lane Behavioral Services, Inc. | Clinic/Center | 18714 N Village, Hagerstown, MD 21742-2454 | 2018-04-25 |
| 1063721512 | Brook Lane Behavioral Services, Inc. | Clinic/Center | 5301 Buckeystown Pike, Suite 170, Frederick, MD 21704-8370 | 2010-10-01 |
| 1417928151 | Brook Lane Behavioral Services, Inc. | Clinic/Center | 18714 N Village, Shopping Center, Hagerstown, MD 21742-2454 | 2006-01-31 |
| Street Address |
4540 B-D MACK AVE |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831401462 | Shawna Foord Smith | Counselor | 4540 B-d Mack Ave, Frederick, MD 21701 | 2010-07-12 |
| 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 |
| 1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
| 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 |
| Find all providers in zip 21701 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649624198 | Mary Noble | Counselor | 5301 Buckeystown Pike, Frederick, MD 21704-8370 | 2016-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798947 | Katisha Tarika Williams-culley | Counselor | 9414 Juliette Dr, Clinton, MD 20735-3547 | 2020-04-07 |
| 1538726336 | Michelle Marie Coale | Counselor | 7201 N Point Rd, Baltimore, MD 21219-1303 | 2019-05-28 |
| 1023520764 | Lifes Energy Wellness Center Inc. | Counselor | 514 Poplar St, Cambridge, MD 21613-1834 | 2017-11-03 |
| 1871011684 | Priscilla F Robinson | Counselor | 300 Dumbarton Rd, Baltimore, MD 21212-1562 | 2017-08-31 |
| 1972043768 | Ellire Hall | Counselor | 12101 Maddox Ln, Bowie, MD 20715-1826 | 2017-02-28 |
| 1770038077 | Michea Alyse Dobson | Counselor | 11800 Twinlakes Dr, 408, Beltsville, MD 20705-3115 | 2016-08-17 |
| 1891185658 | Brook Lane Health Services/laurel Hall | Counselor | 13310-a Brook Lane, Hagerstown, MD 21742-1514 | 2015-02-02 |
| 1932531100 | Learn It Systems | Counselor | 3600 Clipper Mill Rd, Suite 330, Baltimore, MD 21211-1948 | 2013-07-30 |
| 1053605204 | Erica B Bley | Counselor | 121 E Ridgely Rd, Lutherville, MD 21093-5222 | 2011-06-06 |
| 1104844232 | Eileen P Bernstein | Counselor | 2418 Henslowe Dr, Potomac, MD 20854-6178 | 2006-07-17 |
| Find all providers with the same taxonomy | ||||
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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.