Crazy Talk, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

LC2324 Issued in MD

Legal business name

CRAZY TALK, LLC

Practice address

65 Thomas Johnson Dr Ste a
Frederick, MD 21702-4371

Phone

(240) 385-7599

NPI assigned

Jan 14, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly B. Seicke, LCPC, CAC-AD

Title

Owner

Phone

(240) 385-7599

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515888000000",
    "number": "1295243186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 HARPERS WAY",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023064",
            "telephone_number": "410-960-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 THOMAS JOHNSON DR STE A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024371",
            "telephone_number": "240-385-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAZY TALK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-14",
        "last_updated": "2018-01-14",
        "status": "A",
        "authorized_official_last_name": "SEICKE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-385-7599",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC, CAC-AD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "LC2324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Frederick, MD
• Providers in Frederick, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2018; 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.