Healthcare Provider Details

I. General information

NPI: 1023629375
Provider Name (Legal Business Name): DLLS & T LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2020
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6609 REISTERSTOWN RD STE 205
BALTIMORE MD
21215-2634
US

IV. Provider business mailing address

6609 REISTERSTOWN RD STE 205
BALTIMORE MD
21215-2634
US

V. Phone/Fax

Practice location:
  • Phone: 443-835-3539
  • Fax:
Mailing address:
  • Phone: 443-835-3539
  • Fax: 443-869-4161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LAMAR PURNELL
Title or Position: CEO
Credential:
Phone: 443-835-3539