NATIONAL ADDICTION AND BEHAVIORAL HEALTH CLINICS ONLINE, LLC (NPI# 1952940835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952940835 |
| Entity Type | Organization |
| Organization Name | NATIONAL ADDICTION AND BEHAVIORAL HEALTH CLINICS ONLINE, LLC |
| Practice Address |
3702 Perry Ave Kensington MD 20895-2118 |
| Practice Telephone | 8773180934 |
| Practice Fax Number | 8888310965 |
| Mailing Telephone | 8773180934 |
| Mailing Fax Number | 8888310965 |
| Enumeration Date | 2019-12-25 |
| Last Update Date | 2019-12-25 |
| Authorized Official Name | DR. LATONYA JANETT CARROLL (OWNER) |
| Authorized Official Telephone | 8773180934 |
| Authorized Official Credential | DNP, APRN.CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NABHCO | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 655 N Cassady Ave Ste 7, Columbus, OH 432192720 | 6145698940 | 6143754130 |
| Street Address |
3702 PERRY AVE |
| City | KENSINGTON |
| State | MD |
| Zip Code | 20895-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871981860 | Rebecca Abramson | Counselor | 3702 Perry Ave, Kensington, MD 20895 | 2014-12-30 |
| 1598233934 | Pitstop Healthcare LLC | General Practice | 3702 Perry Ave, Kensington, MD 20895-2118 | 2018-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760015457 | Express Yourself Therapy | Occupational Therapist | 3930 Kowles Ave Suite 306, Kensington, MD 20895 | 2020-02-20 |
| 1891343992 | Christine Brandt | Nurse Practitioner | 10605 Concord St Ste 300, Kensington, MD 20895 | 2019-09-01 |
| 1194291765 | Kevin Charles Lorello | Physical Therapy Assistant | Kensington Park, 3620 Littledale Rd, Kensington, MD 20895 | 2018-10-22 |
| 1689154981 | Ryan Rehabilitation LLC | Counselor | 3821 Farragut Ave, Kensington, MD 20895 | 2018-08-16 |
| 1659865673 | Edward Li | Pharmacist | 5110 Nicholson Lane, Kensington, MD 20895 | 2018-06-22 |
| 1245735919 | Kyeshia White | Behavior Technician | 5268-g Nicholson Lane #188, Kensington, MA 20895 | 2018-03-26 |
| 1073036778 | Andrea Zawatsky | Social Worker | 20895 Concord St, 207, Kensington, MD 20895 | 2017-07-25 |
| 1730505744 | Claire Lerner | Social Worker | 3841 Farragut Avenue, Abrams and Associates, Kensington, MD 20895 | 2014-03-14 |
| 1588002224 | Yitbarek Abebe | Pharmacist | 3200 Red Orchid Way, Kensington, MD 20895 | 2013-06-04 |
| 1497004584 | Hopefoundinc | In Home Supportive Care | 10410 Kensington Park Way, 307, Kensington, MD 20895 | 2012-09-05 |
| Find all providers in zip 20895 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588293138 | Bmoreyouthful LLC | Family Medicine | 517 Dusk View Dr, Havre De Grace, MD 21078-2369 | 2020-04-06 |
| 1497256820 | Change Treatment LLC | Family Medicine | 2926 E Cold Spring Ln Ste 3, Baltimore, MD 21214-2800 | 2018-02-21 |
| 1992226310 | Ideal Option, Pllc | Family Medicine | 265 Mill St Ste 100, Hagerstown, MD 21740-6170 | 2017-07-06 |
| 1306395819 | Ciganek LLC | Family Medicine | 633 Railroad Ave, Centreville, MD 21617-1144 | 2016-09-26 |
| 1629114657 | Laurie J. Poss, M.d. P.a. | Family Medicine | 133 Defense Highway, Suite 211, Annapolis, MD 21401-7378 | 2007-01-29 |
| 1619054046 | Paulette Camille Hill | Family Medicine | 707 S President St Apt 1335, Baltimore, MD 21202-4497 | 2006-11-01 |
| 1891872669 | Akintoye Adelakun | Family Medicine | 3311 Toledo Terrace, Suite A3, Blessing Medical Center, Hyattsville, MD 20785 | 2006-11-01 |
| 1417982208 | Robert Scott Goodwin | Family Medicine | 251 Bayview Blvd, Room 05a727, Baltimore, MD 21224-6823 | 2006-07-11 |
| 1447225719 | Natale Joseph Gagliardi | Family Medicine | 2528 Mountain Rd, #204, Pasadena, MD 21122-2300 | 2006-02-21 |
| 1730787847 | Envision Health and Wellness | Family Medicine | 2 W Rolling Xrds Ste 111, Catonsville, MD 21228-6211 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | KENSINGTON |
| Zip Code | 20895 |
Please comment or provide details below to improve the information on NATIONAL ADDICTION AND BEHAVIORAL HEALTH CLINICS ONLINE, LLC.
| 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.