PERFORMANCE COMPLEX
NPI 1144436742
Counselor - Professional in Towson, MD
- Organization
- Counselor
- Professional
About PERFORMANCE COMPLEX
This page provides the complete NPI Profile along with additional information for Performance Complex, a provider established in Towson, Maryland operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1144436742 assigned on May 2007. The practitioner's primary taxonomy code is 101YP2500X with license number 09146 (MD). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Louise Macy (Billing Mgr)
- NPI
- 1144436742 Verify this NPI
- Provider Name
- PERFORMANCE COMPLEX
- Entity Type
- Organization
- Location Address
- 402 W PENNSYLVANIA AVENUE TOWSON, MD 21204
- Location Phone
- (410) 298-8223
- Location Fax
- (410) 298-8225
- Mailing Address
- 14221 DOVE CREEK WAY UNIT 304 SPARKS, MD 21152
- Mailing Phone
- (410) 771-4397
- Mailing Fax
- (410) 298-8225
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-14-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 09146
- License State
- MD
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144436742, enumerated as an "organization" on May 14, 2007.
The provider is located at 402 W PENNSYLVANIA AVENUE TOWSON, MD 21204 and the phone number is (410) 298-8223.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
