=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497605182
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MERIDIAN OUTPATIENT MENTAL HEALTH CLINIC LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/02/2026
-----------------------------------------------------
Last Update Date | 02/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5620 SAINT BARNABAS RD STE 360
-----------------------------------------------------
City | OXON HILL
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20745-3628
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-766-4552
-----------------------------------------------------
Fax | 240-766-4502
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5620 SAINT BARNABAS RD STE 360
-----------------------------------------------------
City | OXON HILL
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20745-3628
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-766-4552
-----------------------------------------------------
Fax | 240-766-4502
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING MEMBER
-----------------------------------------------------
Name | MORGAN WOODS
-----------------------------------------------------
Credential | PAC
-----------------------------------------------------
Telephone | 240-766-4552
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------