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	261QM1300X	Multi-Specialty Clinic/Center
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

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	:	1689238842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSURANCE QUALITY CARE

Provider Business Mailing Address
First Line	:	9440 MARLBORO PIKE #330
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-6730
Country	:	US
Telephone Number	:	301-899-2210
Fax Number	:	888-205-3238

Provider Business Practice Location Address
First Line	:	9440 MARLBORO PIKE #330
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-2077
Country	:	US
Telephone Number	:	301-899-2210
Fax Number	:	888-205-3238

Authorized Official
Title or Position	:	DIRECTOR
Name	:	EVELYN DELORES MAYE
Credential	:
Telephone Number	:	202-232-2085

Provider Enumeration Date	:	04/23/2019
Last Update Date	:	12/11/2020

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Directions to “ASSURANCE QUALITY CARE ” Practice Location

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