Organization
CHESAPEAKE BEHAVIORAL HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCY J. CORREA-CASHDOLLAR R.N. (PRACTICE MANAGER)
(410) 833-0581
Entity
Organization
Contact information
Practice address
217 MAIN ST, SUITE B, REISTERSTOWN, MD 21136-1213
(410) 833-0581
(410) 833-8604
Mailing address
217 MAIN ST, SUITE B, REISTERSTOWN, MD 21136-1213
(410) 833-0581
(410) 833-8604
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0020136
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007543711
AETNA
MD
01
—
225P
MEDICARE GROUP NUMBER
MD
01
—
284CCH
CAREFIRST OF MARYLAND
MD
05
—
4168160 00
—
MD
01
—
K876
GHMSI & BLUE CHOICE, INC
MD
Enumeration date
03/23/2006
Last updated
08/26/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us