Healthcare Provider Details

I. General information

NPI: 1750635207
Provider Name (Legal Business Name): DELLA BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2012
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9841 BROKEN LAND PKWY STE 314
COLUMBIA MD
21046-3078
US

IV. Provider business mailing address

7067 COLUMBIA GATEWAY DR STE 180
COLUMBIA MD
21046-3408
US

V. Phone/Fax

Practice location:
  • Phone: 410-929-7225
  • Fax: 443-333-5434
Mailing address:
  • Phone: 410-929-7225
  • Fax: 410-817-4959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. SUE PIUNTI
Title or Position: DIRECTOR OF PATIENT ACCOUNTS
Credential:
Phone: 410-929-7225