Healthcare Provider Details

I. General information

NPI: 1902727571
Provider Name (Legal Business Name): SUPPORT CIRCLE HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 W INDUSTRIAL BLVD
CUMBERLAND MD
21502-4202
US

IV. Provider business mailing address

604 W INDUSTRIAL BLVD
CUMBERLAND MD
21502-4202
US

V. Phone/Fax

Practice location:
  • Phone: 571-406-9409
  • Fax: 571-406-9409
Mailing address:
  • Phone: 571-406-9409
  • Fax: 571-406-9409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: ALIEU ZOROKON
Title or Position: CEO
Credential:
Phone: 571-406-9409