Organization · Type 2 NPI

Lifespan Behavioral Health Services PC

Mental Health Clinic/Center (Including Community Mental Health Center) · Olney, MD

NPI number 1114673308 Active

Practice location

3460 Olney Laytonsville Rd Ste 212
Olney, MD 20832-3701

Call (301) 982-3437 Map

Fax (301) 982-9452

Mailing address

3416 Olandwood Ct Ste 201
Olney, MD 20832-1373

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Another provider at this address

Geoffrey Garland Grammer, MDPsychiatry Physician Olney, MD NPI 1528141017

Other mental health clinic/center (including community mental health center) providers in Olney

See all in Olney →

NPI record

NPI: 1114673308
Entity type: Organization (Type 2)
Issued: Feb 25, 2022
Last updated: Oct 2, 2023
Status: Active
Subpart: Yes of Lifespan Behavioral Health Services PC

Other names

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Lifespan Behavioral Health Services PC · former legal business name
Lifespan Behavioral Health Services PC · former legal business name

Authorized official

Joshua Sussal
MD/ CEO
(301) 982-3437

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114673308

Lifespan Behavioral Health Services PC's National Provider Identifier is 1114673308, issued on Feb 25, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Olney, MD. The record was last updated on Oct 2, 2023.