Our Place, Llc

LBN: Our Place, Llc
Our Place, Llc is an health care organization with primary practice located at 4990 Mercantile Rd Unit 44723 , Nottingham MD 21236-8572. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Our Place, Llc can be contacted via phone (443) 819-0143, or through Piercey, Matthew via phone (443) 819-0143.

Contact Information

Primary practice address
4990 Mercantile Rd Unit 44723 Nottingham MD 21236-8572
Phone: (443) 819-0143
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Piercey, Matthew LCPC
Phone: (443) 819-0143

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1689418741
LBN Legal business name Our Place, Llc
DBA Doing business as
Authorized official Piercey, Matthew LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2024
Last updated Jun 24th, 2024 - about 2 years 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689418741 NPPES
Maryland MEDICAID 907666200

Popular Providers