<Unavail>

LBN: Jesse Fairchild Llc
<Unavail> is an health care organization with primary practice located at 2057 Pulaski Hwy Ste 4 , North East MD 21901-3744. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Jesse Fairchild Llc can be contacted via phone (443) 877-4044, or through Fairchild Chavero, Janice Leslie via phone (443) 877-4044.

Contact Information

Primary practice address
2057 Pulaski Hwy Ste 4 North East MD 21901-3744
Phone: (443) 877-4044
Fax: (443) 967-0077
Website:
Map and Directions
Authorized official contact:
Name: Fairchild Chavero, Janice Leslie
Phone: (443) 877-4044

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC2857 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X

Profile Details

NPI number 1467724013
LBN Legal business name Jesse Fairchild Llc
DBA Doing business as <Unavail>
Authorized official Fairchild Chavero, Janice Leslie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2012
Last updated Jan 10th, 2026 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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