NPI 1740004092 · live from the CMS NPI Registry
Adjuvant Behavioral Health INC
Clinic/Center in Baltimore, MD. National Provider Identifier 1740004092, active.
NPI record
| NPI | 1740004092 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center 261Q00000X |
| Practice location | 400 E Pratt St Fl 8, Baltimore, MD 21202 |
| Practice phone | 866-912-2746 |
| Mailing address | 11754 Jollyville Rd Ste 110, Austin, TX 78759 |
| Enumerated | November 13, 2024 |
| Last updated | November 13, 2024 |
| Authorized official | Jimmy Myers, Chief Clinical Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, Professional | 101YP2500X | — |
| Social Worker | 104100000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Clinic/Center primary | 261Q00000X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner | 363L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.