MEDICARE: CRESCENT BEHAVIORAL HEALTH CLINIC, 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	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1699061762	OTHER	DE	BEHAVIORAL HEALTH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902522477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRESCENT BEHAVIORAL HEALTH CLINIC, LLC

Provider Business Mailing Address
First Line	:	520 UPPER CHESAPEAKE DR STE 208
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21014-4392
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1208 E CHURCHVILLE RD STE 200
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21014-3484
Country	:	US
Telephone Number	:	410-417-6315
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	DR. ADEEL NASIR
Credential	:
Telephone Number	:	410-417-6315

Provider Enumeration Date	:	10/17/2022
Last Update Date	:	01/29/2026

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