Thomas Chisley Behavioral Health Services, LLC

NPI #1316690340 in Waldorf, Maryland

Provider Information

NPI Number: 1316690340
Entity Type: Organization
Organization Name: Thomas Chisley Behavioral Health Services, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 31, 2022
Last Updated: Jan 31, 2022

Practice Location

Address: 3914 NORTHGATE PL
City: Waldorf
State: Maryland
ZIP Code: 20602-2562
Phone: (678) 629-8811

Authorized Official

Name: RACHELLE THOMAS, LCSW-C
Title: CLINICAL SOCIAL WORKER
Phone: (678) 629-8811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Community Based Residential Treatment Facility, Mental Illness	320800000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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