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Contact Information

BREAKTHROUGH THERAPEUTIC CONCEPTS, LLC.
836 RITCHIE HWY STE 12F
SEVERNA PARK, MD21146-4133
 Phone: 410-670-9048
 Fax: 410-835-9612
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adolescent and Children Mental Health

261QM0855X
 

Adult Mental Health

261QM0850X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Psychoanalysis

103TP0814X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BREAKTHROUGH THERAPEUTIC CONCEPTS, LLC.

NPI Number 1336769561
LBN Legal business name BREAKTHROUGH THERAPEUTIC CONCEPTS, LLC.
Authorized official DEONDRA SMITH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2020
Last updated 07/25/2025 - About 10 months ago
Identifiers
MD Medicaid 224276100
Other DM210001 BCBS PROVIDER ID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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