MEDICARE: CD SUPPORT SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1629903315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CD SUPPORT SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	5930 FOXHALL MANOR DR
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-5353
Country	:	US
Telephone Number	:	443-414-8981
Fax Number	:

Provider Business Practice Location Address
First Line	:	5930 FOXHALL MANOR DR
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-5353
Country	:	US
Telephone Number	:	443-414-8981
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	KRISTA M ENNIS
Credential	:	CPA
Telephone Number	:	443-414-8981

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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Directions to “CD SUPPORT SOLUTIONS LLC ” Practice Location

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