1. Home
  2. Directory
  3. Maryland
  4. Bowie
  5. Clinic Center
  6. NPI Profile

YOUR SUPPORT SERVICE
NPI 1457866022
Clinic/Center - Adult Mental Health in Bowie, MD

Active since December 05, 2017
10111 MARTIN LUTHER KING JR HWY STE 104, BOWIE, MD 20720(301) 209-7233 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2019, Jun 16, 2018, Dec 5, 2017 (3 updates tracked since 2017).

About Your Support Service NPPES

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

YOUR SUPPORT SERVICE (NPI 1457866022) is a healthcare organization registered as an adult mental health in Bowie, Maryland and active in the NPI registry since December 2017. The organization lists Carolyn Simms, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457866022
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameYOUR SUPPORT SERVICE
Location Address10111 MARTIN LUTHER KING JR HWY STE 104Bowie, MD 20720-4225
Mailing Address10111 Martin Luther King Jr Hwy Ste 104Bowie, MD 20720-4225 · (301) 209-7233
Phone(301) 209-7233
Organization SubpartNo
Authorized OfficialCarolyn SimmsCeo · (301) 209-7233
Enumeration DateDecember 5, 2017
Last NPPES UpdateAugust 4, 20233 updates tracked since enumeration
NPPES CertifiedApril 25, 2022
✔ NPI 1457866022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCase ManagementTaxonomy 251B00000X
10111 MARTIN LUTHER KING JR HWY STE 104, Bowie, MD 20720
Open in Google Maps ↗

Other Identifiers 1

Medicaid660009300MD

Other Providers at the Same Location NPPES 3

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

RANDY W PROUT
Counselor (Mental Health)
10111 MARTIN LUTHER KING JR HWY STE 104
BOWIE, MD 20720
Prince George's County (301) 327-1290
YOUR SUPPORT SERVICE
Community/Behavioral Health
10111 MARTIN LUTHER KING JR HWY STE 104
BOWIE, MD 20720
Prince George's County (301) 209-7233
YOUR SUPPORT SERVICE
Community/Behavioral Health
10111 MARTIN LUTHER KING JR HWY STE 104
BOWIE, MD 20720
Prince George's County (301) 209-7233

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 Your Support Service's NPI number?

The NPI number for Your Support Service is 1457866022. It was assigned to this organization in the NPPES registry on December 5, 2017.

Where is Your Support Service located?

Your Support Service is located at 10111 Martin Luther King Jr Hwy Ste 104, Bowie, MD 20720. The listed phone number is (301) 209-7233.

What is Your Support Service's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Your Support Service was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.