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Organization

LCH BEHAVIORAL HEALTH, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA GREEN GORDON (CEO)
(301) 330-0400
Entity
Organization

Contact information

Practice address
12 S SUMMIT AVE, 100-A23, GAITHERSBURG, MD 20877-1301
(301) 330-0400
(301) 591-4045
Mailing address
6800 WISCONSIN AVE # 1137, CHEVY CHASE, MD 20815-6105
(301) 330-0400
(301) 591-4045

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
2084P0800X
Psychiatry Physician
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
03/20/2023
Last updated
11/06/2025
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