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
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
02/13/2025
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