MEDICARE: BTST 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1861820672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BTST SERVICES LLC

Provider Business Mailing Address
First Line	:	1900 N HOWARD ST STE 300
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21218-5909
Country	:	US
Telephone Number	:	443-438-6742
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 N HOWARD ST STE 300
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21218-5909
Country	:	US
Telephone Number	:	443-438-6742
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	MR. CHRISTOPHER ANTONIO SIMON
Credential	:
Telephone Number	:	443-983-7585

Provider Enumeration Date	:	10/15/2013
Last Update Date	:	11/30/2023

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Directions to “BTST SERVICES LLC ” Practice Location

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