Healthcare Provider Details

I. General information

NPI: 1083007983
Provider Name (Legal Business Name): DARE TO CARE TOO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2015
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 MERCANTILE LN STE 321
UPPER MARLBORO MD
20774-4330
US

IV. Provider business mailing address

1401 MERCANTILE LN STE 321
UPPER MARLBORO MD
20774-4330
US

V. Phone/Fax

Practice location:
  • Phone: 240-528-1680
  • Fax: 240-553-1534
Mailing address:
  • Phone: 240-528-1680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JEREMY GEORGE
Title or Position: CFO
Credential:
Phone: 240-528-1680