Alive Intimacy LLC
Organization Active NPI Adult Mental Health Clinic/Center · Crofton, MD
NPI 1366063208 · NPPES record last updated Jul 24, 2020
Key facts
- NPI
- 1366063208
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- Legal business name
- ALIVE INTIMACY LLC
- Practice address
- 2131 Defense Hwy Ste 2
Crofton, MD 21114-2421 - Phone
- (301) 960-8491
- NPI assigned
- May 1, 2020
- Organization subpart
- No
Authorized official
- Name
- Rachel Keller, LCSW-C
- Title
- Therapist
- Phone
- (301) 960-8491
Practitioners 1
-
Rachel E Keller, LSW
National Provider Directory
Locations
2131 Defense Hwy
Ste 2
Crofton, MD 21114
Phone (301) 960-8491
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Yes |
Addresses
Primary practice location
2131 Defense Hwy Ste 2
Crofton, MD 21114-2421
Mailing address
2131 Defense Hwy Ste 2
Crofton, MD 21114-2421
Phone (301) 960-8491
Other providers in Crofton, MD
- Olayinka Johnson Akanji
- Olubunmi Akinkuowo
- Ashley Alexander
- Ali Abbas, MD, PC
- Farhad Aliabadi
- All Things Simple, LLC
- All Things Simple, LLC
- Deidra Alston
- Yasmin Alumyar
- Ambiance Aesthetics & Rejuvenation
All providers in Crofton, MD · Adult Mental Health Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.