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Devine Grace Behavioral Health Center, Llc
Psychiatric/Mental Health Nurse Practitioner in Waldorf, Maryland
NPI 1003670605

Devine Grace Behavioral Health Center, Llc is a Psychiatric/Mental Health Nurse Practitioner based in Hanover, MD and is specialized in Psychiatric/Mental Health. Devine Grace Behavioral Health Center, Llc practices in Waldorf, MD. The NPI Number for Devine Grace Behavioral Health Center, Llc is 1003670605 and holds a License No. (Maryland).

The current practice location address for Devine Grace Behavioral Health Center, Llc is 85 High St, Waldorf, MD and can be reached out via phone at 240-882-0536.

Location: 85 High St, Waldorf, MD, 21076-3170
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003670605
Provider Name
Devine Grace Behavioral Health Center, Llc
Credential
Provider Entity Type
Organization
Address
85 High St, Waldorf, MD, 21076-3170
Phone Number
240-882-0536
Fax Number
Provider Enumeration Date
02/13/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
85 High St
City
Waldorf
State
Maryland
Zip
20602-2150
Phone Number
240-882-0536
Fax Number
person
Provider Business Mailing Address Details
Address
85 High St
City
Waldorf
State
Maryland
Zip
20602-2150
Phone Number
240-882-0536
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 7
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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