Organization · Type 2 NPI
Proactive Healthcare Services LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Glenn Dale, MD
NPI number
1982459335
Active
Practice location
7023 Corner Creek Way
Glenn Dale, MD 20769-9472
Fax (808) 515-5506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
Other mental health clinic/center (including community mental health center) providers in Glenn Dale
About NPI 1982459335
Proactive Healthcare Services LLC's National Provider Identifier is 1982459335, issued on Apr 19, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Glenn Dale, MD. The record was last updated on Dec 3, 2025.