YOUR CHOICE SUPPORT SERVICES, INC.


Address: 16 Wickman Ct, Windsor Mill, MD 21244-1467
Phone: 2024659695

YOUR CHOICE SUPPORT SERVICES, INC. (NPI# 1013486901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013486901
Entity Type Organization
Organization Name YOUR CHOICE SUPPORT SERVICES, INC.
Practice Address 16 Wickman Ct
Windsor Mill
MD 21244-1467
Practice Telephone 2024659695
Mailing Telephone 2024659695
Enumeration Date 2018-11-20
Last Update Date 2018-11-20
Authorized Official Name MS. ANDREA R QUARLES (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2024659695
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 65478690 05

Other Provider/Organization Names

Other Name Type Code
Your Choice Support Services, Inc. Doing Business As Name - Organization

Office Location

Street Address 16 WICKMAN CT
City WINDSOR MILL
State MD
Zip Code 21244-1467

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1306318761 Elana Rose Dorfman Social Worker 7205 Rutherford Road, Windsor Mill, MD 21244 2018-12-26
1235618406 Stacy Solte Antonio Physical Therapy Assistant 7141 Security Blvd., Woodlawn, MD 21244 2018-08-08
1831675446 Martha Marie Brown Behavior Technician 7901 Subet Rd, Windsor Mill, MD 21244 2018-07-17
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1235640475 Kingsley Awah Home Health Aide 7932 Dunhill Village Cir, Windsor Mill, Baltimore, MD 21244 2017-10-16
1316465917 Elizabeth Duggan Occupational Therapist 7141 Security Blvd, Md 21244, Baltimore, MD 21244 2017-09-03
1326565052 Latoya Womack Registered Nurse 7102 Burford Ct Apt 301, Windsor Mill, MD 21244 2017-08-24
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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1144630849 Christine Accardo Horel Psychologist 11500 Cronridge Dr Ste 130, Owings Mills, MD 21117-2261 2014-05-02
1053679225 Cis & H, Inc Psychologist 1839 Brightseat Rd, Landover, MD 20785-4250 2012-04-25
1023262730 Bakari Julius Yerima Psychologist 13152 Kara Ln, Silver Spring, MD 20904-3451 2008-11-07
1598967408 Mary Anderson Psychologist 2018 Bank St., Baltimore, MD 21231 2007-06-03
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Competitor

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City WINDSOR MILL
Zip Code 21244

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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