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Organization
BLUE RIDGE BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization
BLUE RIDGE BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE M. LEPEONKE (OFFICE MANAGER)
(301) 695-8390
Entity
Organization
Contact information
Practice address
170 THOMAS JOHNSON DR, STE 200, FREDERICK, MD 21702-6200
(301) 695-8390
(301) 694-7906
Mailing address
170 THOMAS JOHNSON DR, STE 200, FREDERICK, MD 21702-6200
(301) 695-8390
(301) 694-7906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/26/2005
Last updated
05/24/2013
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