| Three Lower Counties Community Services, Inc. | |
| 
					12145 Elm Street Princess Anne MD 21853  | |
| (410) 651-2204 | |
| (410) 651-0790 | 
| Full Name | Three Lower Counties Community Services, Inc. | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 12145 Elm Street, Princess Anne, Maryland | 
| Authorized Official Name and Position | Brian E Holland (PRESIDENT & CEO) | 
| Authorized Official Contact | 4107491015 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Three Lower Counties Community Services, Inc. Po Box 1978 Salisbury MD 21802-1978 Ph: (410) 749-1015  | Three Lower Counties Community Services, Inc. 12145 Elm Street Princess Anne MD 21853 Ph: (410) 651-2204  | 
| NPI Number | 1033242284 | 
|---|---|
| Provider Enumeration Date | 03/14/2007 | 
| Last Update Date | 11/15/2024 | 
| Certification Date | 11/15/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033242284 | NPI | - | NPPES | 
| 140897600 | Medicaid | MD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
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