BLACKSOLEHEELING, LLC – NPI #1912627811
Clinic/Center
BLACKSOLEHEELING, LLC is an AHC clinic located in WALDORF, MD. NPPES has assigned the NPI number 1912627811 to BLACKSOLEHEELING, LLC on August 31, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)
Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLACKSOLEHEELING, LLC below.
NPI Profile for
BLACKSOLEHEELING, LLC
(about 4 years ago)
WALDORF, MD 20601-3047 Phone: (240) 725-2727 Fax:
WASHINGTON, DC 20019-6553 Phone: Fax:
CFO
Phone: (240) 725-2727
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A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM0801X - Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary) |
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| 323P00000X - Psychiatric Residential Treatment Facility |
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| 261QM0855X - Clinic/Center / Adolescent and Children Mental Health |
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| 261QM0850X - Clinic/Center / Adult Mental Health |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.