=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023341492
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WAY STATION INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/16/2009
-----------------------------------------------------
Last Update Date | 08/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9030 ROUTE 108 SUITE A
-----------------------------------------------------
City | COLUMBIA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21045-1951
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-740-1901
-----------------------------------------------------
Fax | 410-740-8237
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 791888
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21279-1891
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-662-0099
-----------------------------------------------------
Fax | 301-662-1071
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR, REVENUE CYCLE
-----------------------------------------------------
Name | SUE KESSLER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 410-382-8111
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------