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PREMIERE THERAPEUTIC SERVICES, LLC
NPI 1740587179
Counselor - Professional in Baltimore, MD

Active since February 21, 2011
5516 TODD AVE, BALTIMORE, MD 21206(410) 615-2931 Get Directions Write a Review

NPPES record last updated: April 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premiere Therapeutic Services, Llc NPPES

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

PREMIERE THERAPEUTIC SERVICES, LLC (NPI 1740587179) is a healthcare organization registered as a professional in Baltimore, Maryland and active in the NPI registry since February 2011. The organization lists Jabir Na'im Pasha, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1740587179
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NamePREMIERE THERAPEUTIC SERVICES, LLC
Location Address5516 TODD AVEBaltimore, MD 21206-3721
Mailing Address2125 Maryland Ave, 106Baltimore, MD 21218-5634 · (410) 885-4500 · Fax (410) 982-0091
Phone(410) 615-2931
Organization SubpartNo
Authorized OfficialJabir Na'im PashaClinical Director · (410) 885-4500
Enumeration DateFebruary 21, 2011
Last NPPES UpdateApril 9, 2012
✔ NPI 1740587179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC2117
5516 TODD AVE, Baltimore, MD 21206
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Other Identifiers 2

Medicaid0244686 00MD
Medicaid5542251MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Premiere Therapeutic Services, LLC's NPI number?

The NPI number for Premiere Therapeutic Services, LLC is 1740587179. It was assigned to this organization in the NPPES registry on February 21, 2011.

Where is Premiere Therapeutic Services, LLC located?

Premiere Therapeutic Services, LLC is located at 5516 Todd Ave, Baltimore, MD 21206. The listed phone number is (410) 615-2931.

What is Premiere 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 Premiere Therapeutic Services, LLC was last updated on April 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.