# PLATINUM BEHAVIORAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083244354
- **Authorized official:** MR. MALCOLM COOK NP (NURSE PRACTITIONER)
- **Authorized official phone:** (240) 353-1018

## Contact information

- **Practice address:** 1125 WEST ST STE 235, ANNAPOLIS, MD 21401-4198
- **Practice address phone:** (240) 353-1018
- **Mailing address:** 2019 S ANVIL LN, TEMPLE HILLS, MD 20748-4286
- **Mailing address phone:** (240) 353-1018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2020
- **Last updated:** 10/26/2020