Provider Demographics
NPI:1306267067
Name:THERAPEUTIC LINKS BEHAVIORAL HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:THERAPEUTIC LINKS BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FLORIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-641-1579
Mailing Address - Street 1:6700 SEAT PLEASANT DR
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-2428
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2029 P ST NW
Practice Address - Street 2:#202
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5948
Practice Address - Country:US
Practice Address - Phone:301-641-1579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-26
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty