Organization
COLLABORATIVE CONCEPTS OF MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRLEY NEWTON-GUEST LCSW-C, LICSW (DIRECTOR AND CO-FOUNDER)
(443) 873-8258
Entity
Organization
Contact information
Practice address
1200 W BALTIMORE ST, SUITE 202 AND 204, BALTIMORE, MD 21223-2601
(443) 873-8258
Mailing address
1200 W BALTIMORE ST, SUITE 202 AND 204, BALTIMORE, MD 21223-2601
(443) 873-8258
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
13183
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062835200
—
MD
01
—
58974800
MAGELLAN HEALTH
MD
Enumeration date
07/21/2014
Last updated
07/21/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up