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Organization
VICTORY BEHAVIORAL SOLUTIONS LLC
Active
Organization
VICTORY BEHAVIORAL SOLUTIONS LLC
Active
Other names
VBS - Victory Behavioral Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA JACKSON LMSW (CEO)
(443) 388-0211
Entity
Organization
Contact information
Practice address
8831 SATYR HILL RD STE 107, BALTIMORE, MD 21234-2437
(443) 838-1700
Mailing address
8831 SATYR HILL RD STE 107, BALTIMORE, MD 21234-2437
(443) 450-9478
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336859784
—
MD
Enumeration date
11/28/2022
Last updated
04/23/2024
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