Elizabeth McIntosh, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LC6434 Issued in MD

Legal business name

ELIZABETH MCINTOSH, LLC

Practice address

2324 W Joppa Rd Ste 130
Lutherville, MD 21093-4615

Phone

(410) 258-5681

NPI assigned

Jul 17, 2018

Last updated

May 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth McIntosh, MS, LCPC

Title

Resident Agent

Phone

(410) 258-5681

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1104302611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CEDAR CHIP CT",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212348035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 W JOPPA RD STE 130",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934615",
            "telephone_number": "410-258-5681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8320 Bellona Ave Ste 240",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212042093",
            "country_code": "US",
            "telephone_number": "443-384-7407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELIZABETH MCINTOSH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "RESIDENT AGENT",
        "authorized_official_telephone_number": "410-258-5681",
        "authorized_official_credential": "MS, LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LC6434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.