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WYE OAK THERAPEUTIC SERVICES, LLC
NPI 1063073450
Counselor - Professional in Stevensville, MD

Active since June 26, 2019
165 LOG CANOE CIR STE B-3, STEVENSVILLE, MD 21666(443) 249-3351 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2023, Aug 13, 2019 (2 updates tracked since 2019).

About Wye Oak Therapeutic Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYE OAK THERAPEUTIC SERVICES, LLC (NPI 1063073450) is a healthcare organization registered as a professional in Stevensville, Maryland and active in the NPI registry since June 2019. The organization lists Crystal R Blanchard, Owner/psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1063073450
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameWYE OAK THERAPEUTIC SERVICES, LLC
Location Address165 LOG CANOE CIR STE B-3Stevensville, MD 21666-2149
Mailing Address165 Log Canoe Cir Ste B-3Stevensville, MD 21666-2149 · (443) 249-3351
Phone(443) 249-3351
Organization SubpartNo
Authorized OfficialCrystal R BlanchardOwner/psychotherapist · (443) 249-2601
Enumeration DateJune 26, 2019
Last NPPES UpdateApril 3, 20232 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
✔ NPI 1063073450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
165 LOG CANOE CIR STE B-3, Stevensville, MD 21666
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALLEY K HESTER EVERNGAM LCSW-C
Social Worker (Clinical)
165 LOG CANOE CIR STE B-3
STEVENSVILLE, MD 21666
Queen Anne's County (443) 282-8720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wye Oak Therapeutic Services, LLC's NPI number?

The NPI number for Wye Oak Therapeutic Services, LLC is 1063073450. It was assigned to this organization in the NPPES registry on June 26, 2019.

Where is Wye Oak Therapeutic Services, LLC located?

Wye Oak Therapeutic Services, LLC is located at 165 Log Canoe Cir Ste B-3, Stevensville, MD 21666. The listed phone number is (443) 249-3351.

What is Wye Oak Therapeutic Services, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Wye Oak Therapeutic Services, LLC was last updated on April 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.