Provider Demographics
NPI:1992079974
Name:WIN TEAM, LLC
Entity type:Organization
Organization Name:WIN TEAM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICE
Authorized Official - Prefix:MR
Authorized Official - First Name:AL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:443-858-8240
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-0037
Mailing Address - Country:US
Mailing Address - Phone:410-578-8003
Mailing Address - Fax:
Practice Address - Street 1:10001 DEREKWOOD LN
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4804
Practice Address - Country:US
Practice Address - Phone:410-578-8003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-08
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health