Healthcare Provider Details

I. General information

NPI: 1619753860
Provider Name (Legal Business Name): DOZA BEHAVIORAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2023
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 JUMPERS HOLE RD STE 221
PASADENA MD
21122-1036
US

IV. Provider business mailing address

7621 HAINES CT
LAUREL MD
20707-3354
US

V. Phone/Fax

Practice location:
  • Phone: 301-699-1411
  • Fax: 443-577-4110
Mailing address:
  • Phone: 301-699-1411
  • Fax: 443-577-4110

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
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ABDUL DOZA
Title or Position: PRESIDENT
Credential:
Phone: 301-699-1411