Organization
BROOK LANE BEHAVIORAL SERVICES, INC.
Active
Other names
Brook Lane Cumberland
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA REPAC (CFO)
(301) 790-9351
Entity
Organization
Contact information
Practice address
1050 W INDUSTRIAL BLVD, CUMBERLAND, MD 21502-4331
(301) 733-0330
Mailing address
13121 BROOKLANE DR, HAGERSTOWN, MD 21742-1514
(301) 733-0331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/16/2023
Last updated
02/17/2026
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