Team K Behavioral Healthcare Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TEAM K BEHAVIORAL HEALTHCARE SERVICES, LLC

Practice address

1100 Bolton St SPC 1500
Baltimore, MD 21201-2222

Phone

(443) 839-7448

Fax

(443) 438-7850

NPI assigned

Jun 9, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Falaye Kourouma, MSW

Title

Ceo

Phone

(443) 839-7448

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Team K Behavioral Healthcare Services LLC2 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.

• Team K Behavioral Healthcare Services, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1912897745
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Team K Behavioral Healthcare Services, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1912897745
  NPPES parent name

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1508595091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BOLTON ST SPC 1500",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012222",
            "telephone_number": "443-839-7448",
            "fax_number": "443-438-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BOLTON ST SPC 1500",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012222",
            "telephone_number": "443-839-7448",
            "fax_number": "443-438-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM K BEHAVIORAL HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "KOUROUMA",
        "authorized_official_first_name": "FALAYE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-839-7448",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.teamkbhs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1100 Bolton St Spc 1500",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212012222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denotta Shavonn Teagle, PA-C
• Devon Teagle
• Heidi Teague, M.D.
• Zona Lorvenia Teal
• Team 2
• Team K Behavioral Healthcare Services, LLC
• Technical Gas Products, Inc.
• Semere Teclay, PA-C
• Mahlet Tedla
• Nahom Y Tedla

• Community/Behavioral Health Agency in Baltimore, MD
• Providers in Baltimore, 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 Jun 28, 2022; 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.