Healthcare Provider Details

I. General information

NPI: 1558446690
Provider Name (Legal Business Name): THRESHOLD SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1398 LAMBERTON DR
SILVER SPRING MD
20902-3414
US

IV. Provider business mailing address

1398 LAMBERTON DR
SILVER SPRING MD
20902-3414
US

V. Phone/Fax

Practice location:
  • Phone: 301-754-1102
  • Fax: 301-754-1690
Mailing address:
  • Phone: 301-754-1102
  • Fax: 301-754-1690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number15765
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number15766
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number15117
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number15118
License Number StateMD

VIII. Authorized Official

Name: MR. CRAIG S. KNOLL
Title or Position: CEO/EXECUTIVE DIRECTOR
Credential:
Phone: 301-754-1102