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General NPI Number Information
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NPI Number | 1811782527
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Entity Type | Organization
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Legal Business Name | JCR MENTAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 04/12/2025
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 4727 OLD COURT RD
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City | PIKESVILLE
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State | MD
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Zip | 21208-2347
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Country | US
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Telephone | 443-421-5081
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Fax |
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Provider Business Mailing Address
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Address Line | 12501 TIMBER GROVE RD
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City | REISTERSTOWN
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State | MD
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Zip | 21136-1819
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Country | US
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Telephone | 667-877-5972
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Fax | 443-781-7692
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Authorized Official
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Title or Position | OWNER
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Name | CECILIA PARKER
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Credential | PMHNP-BC
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Telephone | 667-877-5972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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