Healthcare Provider Details

I. General information

NPI: 1306741616
Provider Name (Legal Business Name): C.A.R.E. BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 COURT HOUSE PLZ
ELKTON MD
21921-5687
US

IV. Provider business mailing address

1335 SARGEANT ST
BALTIMORE MD
21223-3633
US

V. Phone/Fax

Practice location:
  • Phone: 443-355-5068
  • Fax:
Mailing address:
  • Phone: 813-585-6442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: KIANA HUGHES
Title or Position: CO-CEO
Credential: CPRP
Phone: 813-585-6442