MEDICARE: MAY HAVEN BEHAVIORAL SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1295680718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAY HAVEN BEHAVIORAL SERVICES LLC

Provider Business Mailing Address
First Line	:	2187 FORMAN CT
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20601-5607
Country	:	US
Telephone Number	:	301-404-6560
Fax Number	:

Provider Business Practice Location Address
First Line	:	2187 FORMAN CT
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20601-5607
Country	:	US
Telephone Number	:	301-404-6560
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	MARY MPI
Credential	:
Telephone Number	:	301-404-6560

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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