MEDICARE: PROPEL PRODUCTIONS CENTER INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
3	261QM0850X	Adult Mental Health Clinic/Center
4	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1912501487
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROPEL PRODUCTIONS CENTER INC

Provider Business Mailing Address
First Line	:	6711 FARMER DR
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-1021
Country	:	US
Telephone Number	:	240-230-7352
Fax Number	:

Provider Business Practice Location Address
First Line	:	6711 FARMER DR
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-1021
Country	:	US
Telephone Number	:	240-230-7352
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. LAUREN JONES
Credential	:	LICSW, LCSW-C
Telephone Number	:	240-230-7352

Provider Enumeration Date	:	11/25/2020
Last Update Date	:	02/27/2024

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