Looking Forward Crisis Residential, Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

LOOKING FORWARD CRISIS RESIDENTIAL, INC

Practice address

8447 Rolling Ridge CT
Ellicott City, MD 21043-1932

Phone

(202) 740-7311

NPI assigned

Feb 15, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tiffany Hebron, LCSW-C

Title

Owner

Phone

(202) 740-7311

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1043803604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8447 ROLLING RIDGE CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210431932",
            "telephone_number": "202-740-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8447 ROLLING RIDGE CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210431932",
            "telephone_number": "202-740-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOKING FORWARD CRISIS RESIDENTIAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "HEBRON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-740-7311",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Mental Illness Community Based Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.