KSA YOUTH FOUNDATION INC. NPI 1598267700

NPI Information

NPI: 1598267700
Provider Name: KSA YOUTH FOUNDATION INC.
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Doing Business As: A T COUNSELING CENTER
Address: 10905 FORT WASHINGTON RD STE 105
FORT WASHINGTON, MD
ZIP 20744
Phone: (240) 766-4194

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NPI Details

KSA YOUTH FOUNDATION INC. is a mental health (including community mental health center) clinic center in Fort Washington, MD. KSA YOUTH FOUNDATION INC. NPI is 1598267700. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As A T Counseling Center.

The provider's business location address is:

10905 FORT WASHINGTON RD STE 105
FORT WASHINGTON, MD
ZIP 20744-844
Phone: (240) 766-4194
Fax: (301) 485-0363

The provider's authorized official is Katrina Ann Wilkins-jackson .
The authorized official title is Ceo/owner and has the following contact phone number (240) 766-4194.

The enumeration date for this NPI number is 3/3/2018 and was last updated on 10/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	DISTRICT OF COLUMBIA	No
2	101YP2500X	Counselor	Professional	MARYLAND	No
3	1041C0700X	Social Worker	Clinical	MARYLAND	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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