Gilead Lifeworks Behavioral Health Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC5663 Issued in MD

Legal business name

GILEAD LIFEWORKS BEHAVIORAL HEALTH SERVICES

Practice address

8103 Burkart CT
Greenbelt, MD 20770-2105

Phone

(240) 244-6229

NPI assigned

Sep 16, 2015

Last updated

Sep 16, 2015By 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

Ms. Pamela J Moody, LCPC

Title

Managing Director

Phone

(240) 273-3264

Specialties & licenses 1

Addresses

Tax ID family

Gilead Lifeworks Behavioral Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gilead Lifeworks Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oxon Hill, MD
  • NPI 1760838916
  NPD tax ID

Locations

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1356710743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 NATIONAL PLZ STE 331",
            "address_2": "NATIONAL HARBOR",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451152",
            "telephone_number": "240-273-3264",
            "fax_number": "240-273-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8103 BURKART CT",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702105",
            "telephone_number": "240-244-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILEAD LIFEWORKS BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "240-273-3264",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.