Healthcare Provider Details

I. General information

NPI: 1730915711
Provider Name (Legal Business Name): PARAVIEW BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

178 THOMAS JOHNSON DR STE 103
FREDERICK MD
21702-4494
US

IV. Provider business mailing address

178 THOMAS JOHNSON DR STE 103
FREDERICK MD
21702-4494
US

V. Phone/Fax

Practice location:
  • Phone: 301-524-4659
  • Fax:
Mailing address:
  • Phone: 15-244-6593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: MAUREEN OKONAH
Title or Position: CEO
Credential:
Phone: 301-693-7131