Provider Demographics
NPI:1053630384
Name:JOSEPH JAMES, L.L.C.
Entity type:Organization
Organization Name:JOSEPH JAMES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-825-6925
Mailing Address - Street 1:8422 BELLONA LN STE 207
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2057
Mailing Address - Country:US
Mailing Address - Phone:410-825-6925
Mailing Address - Fax:410-321-6895
Practice Address - Street 1:8422 BELLONA LN STE 207
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2057
Practice Address - Country:US
Practice Address - Phone:410-825-6925
Practice Address - Fax:410-321-6895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD027481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty