Provider Demographics
NPI:1215686563
Name:AMAZING CARE MENTAL HEALTH & SUD SERVICES, LLC
Entity type:Organization
Organization Name:AMAZING CARE MENTAL HEALTH & SUD SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:O
Authorized Official - Last Name:EPEY
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR
Authorized Official - Phone:410-265-0023
Mailing Address - Street 1:6314 WINDSOR MILL RD STE 201B
Mailing Address - Street 2:
Mailing Address - City:GWYNN OAK
Mailing Address - State:MD
Mailing Address - Zip Code:21207-6095
Mailing Address - Country:US
Mailing Address - Phone:423-208-0179
Mailing Address - Fax:
Practice Address - Street 1:5512 WESLEY AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21207-6824
Practice Address - Country:US
Practice Address - Phone:410-265-0023
Practice Address - Fax:410-265-0027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1539290500Medicaid