| Breakthrough Therapeutic Concepts, Llc. | |
|
836 Ritchie Hwy Ste 12f Severna Park MD 21146-4133 | |
| (410) 670-9048 | |
| (410) 835-9612 |
| Full Name | Breakthrough Therapeutic Concepts, Llc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 836 Ritchie Hwy Ste 12f, Severna Park, Maryland |
| Authorized Official Name and Position | Deondra Smith (OWNER) |
| Authorized Official Contact | 3054942361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakthrough Therapeutic Concepts, Llc. 836 Ritchie Hwy Ste 12f Severna Park MD 21146-4133 Ph: (410) 670-9048 | Breakthrough Therapeutic Concepts, Llc. 836 Ritchie Hwy Ste 12f Severna Park MD 21146-4133 Ph: (410) 670-9048 |
| NPI Number | 1336769561 |
|---|---|
| Provider Enumeration Date | 04/17/2020 |
| Last Update Date | 07/25/2025 |
| Certification Date | 07/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336769561 | NPI | - | NPPES |
| DM210001 | Other | BCBS PROVIDER ID | |
| 224276100 | Medicaid | MD |
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