Healthcare Provider Details

I. General information

NPI: 1457093452
Provider Name (Legal Business Name): CARE CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 04/11/2022
Certification Date: 04/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7902 OLD BRANCH AVE STE 109
CLINTON MD
20735-1627
US

IV. Provider business mailing address

7902 OLD BRANCH AVE STE 109
CLINTON MD
20735-1627
US

V. Phone/Fax

Practice location:
  • Phone: 301-856-2386
  • Fax: 301-856-2395
Mailing address:
  • Phone: 301-856-2386
  • Fax: 301-856-2395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: REGINALD VERNELL ADAMS
Title or Position: PRESIDENT/CEO
Credential: CAC11
Phone: 301-856-2386