BROOK LANE HEALTH SERVICES/LAUREL HALL (NPI# 1891185658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891185658 |
| Entity Type | Organization |
| Organization Name | BROOK LANE HEALTH SERVICES/LAUREL HALL |
| Other Organization Name | LAUREL HALL SCHOOL |
| Practice Address |
13310-a Brook Lane Hagerstown MD 21742-1514 |
| Practice Telephone | 3017330330 |
| Practice Fax Number | 3017334038 |
| Mailing Telephone | 3017330330 |
| Mailing Fax Number | 3017334038 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | MRS. KRISTY POFFENBERGER (COORDINATOR/MANAGED CARE) |
| Authorized Official Telephone | 3017330331 |
| Is Organization Subpart | Y |
| Parent Organization Name | BROOK LANE HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
3852 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 568605900 | 05 |
| Other Name | Type Code |
|---|---|
| Laurel Hall School | Other Name - Individual/Organization |
| Street Address |
13310-A BROOK LANE |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891355749 | Margaret Wishard | Social Worker | 13310-a Brook Lane, Hagerstown, MD 21742-1514 | 2019-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798947 | Katisha Tarika Williams-culley | Counselor | 9414 Juliette Dr, Clinton, MD 20735-3547 | 2020-04-07 |
| 1538726336 | Michelle Marie Coale | Counselor | 7201 N Point Rd, Baltimore, MD 21219-1303 | 2019-05-28 |
| 1023520764 | Lifes Energy Wellness Center Inc. | Counselor | 514 Poplar St, Cambridge, MD 21613-1834 | 2017-11-03 |
| 1871011684 | Priscilla F Robinson | Counselor | 300 Dumbarton Rd, Baltimore, MD 21212-1562 | 2017-08-31 |
| 1972043768 | Ellire Hall | Counselor | 12101 Maddox Ln, Bowie, MD 20715-1826 | 2017-02-28 |
| 1770038077 | Michea Alyse Dobson | Counselor | 11800 Twinlakes Dr, 408, Beltsville, MD 20705-3115 | 2016-08-17 |
| 1932531100 | Learn It Systems | Counselor | 3600 Clipper Mill Rd, Suite 330, Baltimore, MD 21211-1948 | 2013-07-30 |
| 1053605204 | Erica B Bley | Counselor | 121 E Ridgely Rd, Lutherville, MD 21093-5222 | 2011-06-06 |
| 1104844232 | Eileen P Bernstein | Counselor | 2418 Henslowe Dr, Potomac, MD 20854-6178 | 2006-07-17 |
| 1508470659 | Kathleen Erin Doppelheuer | Counselor | 7100 Baltimore Ave Ste 208, College Park, MD 20740-3638 | 2020-09-06 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
Please comment or provide details below to improve the information on BROOK LANE HEALTH SERVICES/LAUREL HALL.
| 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.