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Organization
ANTHEM BEHAVIORAL HEALTH, LLC
Active
Organization
ANTHEM BEHAVIORAL HEALTH, LLC
Active
Other names
Anthem Behavioral Health, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PETRIK (CEO)
(443) 567-6091
Entity
Organization
Contact information
Practice address
201 INTERNATIONAL CIR STE 230, COCKEYSVILLE, MD 21030-1344
(443) 567-6091
(443) 567-6191
Mailing address
404 N HICKORY AVE, BEL AIR, MD 21014-3227
(410) 459-7699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
Other
Enumeration date
11/15/2024
Last updated
02/13/2025
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