1 SERVING OTHERS, LLC


Address: 10665 Stanhaven Pl Ste 3121, White Plains, MD 20695-3055
Phone: 2403601880

1 SERVING OTHERS, LLC (NPI# 1730618299) 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) 1730618299
Entity Type Organization
Organization Name 1 SERVING OTHERS, LLC
Practice Address 10665 Stanhaven Pl Ste 3121
White Plains
MD 20695-3055
Mailing Address 10468 Ponderosa Pine Ave
Waldorf
MD 20603-5792
Practice Telephone 2403601880
Enumeration Date 2017-06-08
Last Update Date 2017-06-08
Authorized Official Name SONJA VARNER-ALSTON (LICENSED CLINICAL MARRIAGE & FAMILY)
Authorized Official Telephone 8504996181
Authorized Official Credential LCMFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
LCM636 MD Ambulatory Health Care Facilities

Office Location

Street Address 10665 STANHAVEN PL STE 3121
City WHITE PLAINS
State MD
Zip Code 20695-3055

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1760856488 Stephanie W Allen Physical Therapist Ospt South Office 4470 Regency Place, Suite #100, White Plains, MD 20695 2015-11-18
1457743122 Raven Gray Physical Therapy Assistant 10708 Esprit Place, White Plains, MD 20695 2015-03-04
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1942532064 Divine Intervention Community Support Services Community/Behavioral Health 7727 Chesterfied Ct., White Plains, MD 20695 2010-02-01
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City WHITE PLAINS
Zip Code 20695

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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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