Provider Demographics
NPI:1104546035
Name:ADVANCED BEHAVIORAL HEALTH COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:ADVANCED BEHAVIORAL HEALTH COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKETT
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:443-840-0811
Mailing Address - Street 1:PO BOX 265
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:MD
Mailing Address - Zip Code:21822-0265
Mailing Address - Country:US
Mailing Address - Phone:443-840-0811
Mailing Address - Fax:410-543-1901
Practice Address - Street 1:110 W CHURCH ST STE D
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5001
Practice Address - Country:US
Practice Address - Phone:443-840-0811
Practice Address - Fax:410-543-1901
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED BEHAVIORAL HEALTH COUNSELING SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty