NPI Code Details Logo

NPI 1023629375

NPI 1023629375 : DLLS & T LLC : BALTIMORE, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1023629375
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    DLLS & T LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/11/2020
-----------------------------------------------------
    Last Update Date     |    09/30/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6609 REISTERSTOWN RD STE 205 
-----------------------------------------------------
    City                 |    BALTIMORE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21215-2634
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    443-835-3539
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6609 REISTERSTOWN RD STE 205 
-----------------------------------------------------
    City                 |    BALTIMORE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21215-2634
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    443-835-3539
-----------------------------------------------------
    Fax                  |    443-869-4161
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     LAMAR  PURNELL 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    443-835-3539
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    101Y00000X
-----------------------------------------------------
    Taxonomy Name        |    Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    104100000X
-----------------------------------------------------
    Taxonomy Name        |    Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    172V00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Health Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.