Healthcare Provider Details

I. General information

NPI: 1114843406
Provider Name (Legal Business Name): TAILORED FOR YOU BEHAVIORAL & MENTAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10055 RED RUN BLVD STE 200
OWINGS MILLS MD
21117-4867
US

IV. Provider business mailing address

7611 CRAIN HWY SUITE C150 #124
UPPER MARLBORO MD
20772
US

V. Phone/Fax

Practice location:
  • Phone: 443-730-5974
  • Fax:
Mailing address:
  • Phone: 443-730-5974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MAXINE TAYLOR
Title or Position: OWNER / CLINICAL DIRECTOR
Credential: LCSW-C
Phone: 443-730-5974