1780179275 NPI number — HELPING HANDS BEHAVIORAL HEALTH SERVICES, LLC

Table of content: MR. WILLIAM GERARD DORSEY LCSW (NPI 1962663591)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780179275 NPI number — HELPING HANDS BEHAVIORAL HEALTH SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HELPING HANDS BEHAVIORAL HEALTH SERVICES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780179275
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/27/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 27
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
UPPER MARLBORO
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20773-0027
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-524-8340
Provider Business Mailing Address Fax Number:
888-778-0475

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14626 MAIN ST STE 202
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UPPER MARLBORO
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20772-3026
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-524-8340
Provider Business Practice Location Address Fax Number:
888-778-0475
Provider Enumeration Date:
06/27/2018

Additional Information

Authorized Official

Authorized Official Last Name:
BURTON
Authorized Official First Name:
KIMBERLY
Authorized Official Middle Name:
RENETT
Authorized Official Title or Position:
PROGRAM DIRECTOR
Authorized Official Telephone Number:
202-345-7099

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  15283 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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