MEDICARE: ASSURANCE QUALITY CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor
3	251S00000X	Community/Behavioral Health Agency
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
5	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134784648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSURANCE QUALITY CARE

Provider Business Mailing Address
First Line	:	9440 PENNSYLVANIA AVE STE 330
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-3659
Country	:	US
Telephone Number	:	301-899-2210
Fax Number	:	800-465-8147

Provider Business Practice Location Address
First Line	:	9440 MARLBORO PIKE # 330
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-3659
Country	:	US
Telephone Number	:	301-899-2210
Fax Number	:	888-205-3238

Authorized Official
Title or Position	:	CEO
Name	:	MS. EVELYN MAYE
Credential	:	LPC, CRC, CAC-I, CNA
Telephone Number	:	202-210-5891

Provider Enumeration Date	:	05/09/2019
Last Update Date	:	02/20/2023

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Directions to “ASSURANCE QUALITY CARE ” Practice Location

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