Healthcare Provider Details

I. General information

NPI: 1700264033
Provider Name (Legal Business Name): ASSURANCE QUALITY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2015
Last Update Date: 07/23/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9440 MARLBORO PIKE STE 330 SUITE 300
UPPER MARLBORO MD
20772-1602
US

IV. Provider business mailing address

9440 PENNSYLVANIA AVE STE 300
UPPER MARLBORO MD
20772-3659
US

V. Phone/Fax

Practice location:
  • Phone: 18-992-2103
  • Fax: 888-205-3238
Mailing address:
  • Phone: 301-899-2210
  • Fax: 888-205-3238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number115023
License Number StateDC

VIII. Authorized Official

Name: EVELYN MAYE
Title or Position: DIRECTOR
Credential: LPC, CAC, HS-BCP,CRC
Phone: 202-210-5891