Healthcare Provider Details

I. General information

NPI: 1457128712
Provider Name (Legal Business Name): CHERISHED HANDS BEHAVIORAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2023
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 GREENBELT RD STE M6
BERWYN HEIGHTS MD
20740-2358
US

IV. Provider business mailing address

6201 GREENBELT RD STE M6
BERWYN HEIGHTS MD
20740-2358
US

V. Phone/Fax

Practice location:
  • Phone: 240-805-8694
  • Fax: 301-972-0901
Mailing address:
  • Phone: 240-805-8694
  • Fax: 301-972-0901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: LUKMAN A SAKARIYAH
Title or Position: CEO
Credential:
Phone: 301-825-2918