Healthcare Provider Details

I. General information

NPI: 1275456428
Provider Name (Legal Business Name): KLINE BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/09/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1888 BLUE BALL RD
ELKTON MD
21921-3305
US

IV. Provider business mailing address

1888 BLUE BALL RD
ELKTON MD
21921-3305
US

V. Phone/Fax

Practice location:
  • Phone: 302-528-6710
  • Fax:
Mailing address:
  • Phone: 302-528-6710
  • Fax:

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 State

VIII. Authorized Official

Name: MS. KIMBERLY SCROGER
Title or Position: OWNER/COUNSELOR
Credential: LCPC
Phone: 302-483-7458