Provider Demographics
NPI:1194690230
Name:ANNE ARUNDEL COUNTY MENTAL HEALTH AGENCY, INC.
Entity type:Organization
Organization Name:ANNE ARUNDEL COUNTY MENTAL HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MICKLER
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:410-222-7858
Mailing Address - Street 1:1 TRUMAN PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7037
Mailing Address - Country:US
Mailing Address - Phone:410-222-7858
Mailing Address - Fax:410-222-7881
Practice Address - Street 1:1 TRUMAN PKWY STE 101
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7037
Practice Address - Country:US
Practice Address - Phone:410-222-7858
Practice Address - Fax:410-222-7881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-08
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health