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TARGET BEHAVIORAL HEALTH SERVICES, LLC
NPI 1235749771
Nurse Practitioner - Psychiatric/Mental Health in Bel Air, MD

Active since August 07, 2020
15 E CHURCHVILLE RD STE 106, BEL AIR, MD 21014(410) 888-7143(410) 888-7145 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2025, Jun 2, 2025, Mar 10, 2021 and 2 more (5 updates tracked since 2020).

About Target Behavioral Health Services, Llc NPPES

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

TARGET BEHAVIORAL HEALTH SERVICES, LLC (NPI 1235749771) is a healthcare organization registered as a psychiatric/mental health in Bel Air, Maryland and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Bel Air and lists Folashade Kanimodo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235749771
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTARGET BEHAVIORAL HEALTH SERVICES, LLC
Location Address15 E CHURCHVILLE RD STE 106Bel Air, MD 21014-3837
Mailing Address1415 Moonshadow RdBel Air, MD 21015-4999 · (410) 900-8897
Phone(410) 888-7143
Fax(410) 888-7145
Organization SubpartNo
Authorized OfficialFolashade KanimodoCeo · (410) 900-8897
Enumeration DateAugust 7, 2020
Last NPPES UpdateJuly 9, 20255 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1235749771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
15 E CHURCHVILLE RD STE 106, Bel Air, MD 21014
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Other Names 1

Other NameTarget Behavioral Health Services, Llc

Secondary Practice Location 1

Location 11415 Moonshadow RdBel Air, MD 21015-4999 · Phone (410) 900-8897

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

LAUREN ELIZABETH JAMES LCSW-C
Social Worker
15 E CHURCHVILLE RD STE 106
BEL AIR, MD 21014
Harford County (443) 879-3700
TARGET BEHAVIORAL HEALTH SERVICES, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
15 E CHURCHVILLE RD STE 106
BEL AIR, MD 21014
Harford County (410) 888-7143
ESTELL WELLNESS, LLC
Social Worker (Clinical)
15 E CHURCHVILLE RD STE 106
BEL AIR, MD 21014
Harford County (443) 879-3700
PJISON PMHNPBC LLC
Clinic/Center
15 E CHURCHVILLE RD STE 106
BEL AIR, MD 21014
Harford County (443) 242-9424

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 Target Behavioral Health Services, LLC's NPI number?

The NPI number for Target Behavioral Health Services, LLC is 1235749771. It was assigned to this organization in the NPPES registry on August 7, 2020.

Where is Target Behavioral Health Services, LLC located?

Target Behavioral Health Services, LLC is located at 15 E Churchville Rd Ste 106, Bel Air, MD 21014. The listed phone number is (410) 888-7143.

What is Target Behavioral Health Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Target Behavioral Health Services, LLC was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.