MEDICARE: FREDERICK BEHAVIORAL HEALTH SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YP2500X	Professional Counselor
3	104100000X	Social Worker
4	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1902764939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREDERICK BEHAVIORAL HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	5100 BUCKEYSTOWN PIKE STE 250
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21704-8344
Country	:	US
Telephone Number	:	301-321-8245
Fax Number	:	301-238-2915

Provider Business Practice Location Address
First Line	:	10212 GOVERNOR LANE BLVD UNIT 1006
Second Line	:
City	:	WILLIAMSPORT
State	:	MD
Zip	:	21795-4088
Country	:	US
Telephone Number	:	301-321-8245
Fax Number	:	301-238-7915

Authorized Official
Title or Position	:	OWNER, CEO
Name	:	THOMAS WILLIAM COLLIGAN JR.
Credential	:
Telephone Number	:	301-321-8245

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

Similar Medicare Providers

1447775770 — LUDWICK LASER & SURGERY CENTER, LLC
Practice Location Address:

10212 GOVERNOR LANE BLVD UNIT 1004
WILLIAMSPORT, MD
21795-4088

Practice Phone: 301-733-4200
Practice Fax: 301-223-7121

1861297756 — SAMANTHA BISER CRNP, PMHNP-BC
Practice Location Address:

10212 GOVERNOR LANE BLVD UNIT 1006
WILLIAMSPORT, MD
21795-4088

Practice Phone: 240-415-8901
Practice Fax:

1720977275 — NORTHSTAR ANESTHESIA OF MARYLAND LLC
Practice Location Address:

10212 GOVERNOR LANE BLVD UNIT 1004
WILLIAMSPORT, MD
21795-4088

Practice Phone: 301-733-4200
Practice Fax:

1801750336 — MAX WILLARD NICHOLSON III DPT
Practice Location Address:

2350 E 3RD ST
WILLIAMSPORT, PA
17701-4088

Practice Phone: 570-360-5915
Practice Fax: 570-560-6501

1255614822 — AARON M DEMBECK MS, P.T.
Practice Location Address:

2350 E 3RD ST
WILLIAMSPORT, PA
17701-4088

Practice Phone: 570-360-5915
Practice Fax: 570-560-6501

1023391810 — REBECCA DUTTRY DPT
Practice Location Address:

2350 E 3RD ST
WILLIAMSPORT, PA
17701-4088

Practice Phone: 570-360-5915
Practice Fax: 570-560-6501

Directions to “FREDERICK BEHAVIORAL HEALTH SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.