Provider Demographics
NPI:1871284463
Name:NEXT CHAPTER BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:NEXT CHAPTER BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KUTRESA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANKFORD - PURNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-202-6716
Mailing Address - Street 1:614 EASTERN SHORE DR STE B
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-5940
Mailing Address - Country:US
Mailing Address - Phone:443-736-7721
Mailing Address - Fax:
Practice Address - Street 1:614 EASTERN SHORE DR STE B
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-5940
Practice Address - Country:US
Practice Address - Phone:443-736-7721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty