Thomas Chisley Behavioral Health Services, Llc

LBN: Thomas Chisley Behavioral Health Services, Llc
Thomas Chisley Behavioral Health Services, Llc is an health care organization with primary practice located at 3914 Northgate Pl , Waldorf MD 20602-2562. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Thomas Chisley Behavioral Health Services, Llc can be contacted via phone (678) 629-8811, or through Thomas, Rachelle via phone (678) 629-8811.

Contact Information

Primary practice address
3914 Northgate Pl Waldorf MD 20602-2562
Phone: (678) 629-8811
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Rachelle LCSW-C
Phone: (678) 629-8811

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1316690340
LBN Legal business name Thomas Chisley Behavioral Health Services, Llc
DBA Doing business as
Authorized official Thomas, Rachelle LCSW-C
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2022
Last updated Jan 31st, 2022 - about 4 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.

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