Healthcare Provider Details

I. General information

NPI: 1962016147
Provider Name (Legal Business Name): ONE STEP FURTHER MENTAL HEALTH REHABILITATION PROGRAM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2020
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 PARK CENTER CT STE 201
OWINGS MILLS MD
21117-5604
US

IV. Provider business mailing address

6 PARK CENTER CT STE 201
OWINGS MILLS MD
21117-5604
US

V. Phone/Fax

Practice location:
  • Phone: 443-779-0994
  • Fax:
Mailing address:
  • Phone: 443-779-0994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LAQUINTA MAYS
Title or Position: OWNER /DIRECTOR
Credential:
Phone: 443-779-0994