Provider Demographics
NPI:1225210123
Name:F H L MOBILE TREATMENT SERVICES LLC
Entity type:Organization
Organization Name:F H L MOBILE TREATMENT SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLES
Authorized Official - Middle Name:WESNER
Authorized Official - Last Name:SICARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-322-4575
Mailing Address - Street 1:1081 LILLYGATE LN
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-2705
Mailing Address - Country:US
Mailing Address - Phone:410-836-7225
Mailing Address - Fax:410-836-7221
Practice Address - Street 1:1081 LILLYGATE LN
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-2705
Practice Address - Country:US
Practice Address - Phone:410-836-7225
Practice Address - Fax:410-836-7221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2008-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00602172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty