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Chaunna Thomas, LCPC
Community/Behavioral Health Agency in Edgewood, Maryland
NPI 1699040717

Chaunna Thomas is a Community/Behavioral Health Agency based in Edgewood, MD. Chaunna Thomas practices in Edgewood, MD and has the professional credentials of LCPC. The NPI Number for Chaunna Thomas is 1699040717 and holds a License No. LC8470 (Maryland).

The current practice location address for Chaunna Thomas is 500 Edgewood Rd Ste 210, Edgewood, MD and can be reached out via phone at 443-402-0172.

Location: 500 Edgewood Rd Ste 210, Edgewood, MD, 21040-2734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699040717
Provider Name
Chaunna Thomas
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
500 Edgewood Rd Ste 210, Edgewood, MD, 21040-2734
Phone Number
443-402-0172
Fax Number
Provider Enumeration Date
03/22/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4210018 01 MD MEDICAID PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
500 Edgewood Rd Ste 210
City
Edgewood
State
Maryland
Zip
21040-2734
Phone Number
443-402-0172
Fax Number
person
Provider Business Mailing Address Details
Address
500 Edgewood Rd Ste 210
City
Edgewood
State
Maryland
Zip
21040-2734
Phone Number
443-402-0172
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
MH- 1044, MH-1043 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
LC8470 (Maryland)
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.
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