OrganizationTas Behavioral HealthNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address33 W Franklin St Ste 201, Hagerstown, MD 21740-4863(240) 599-5177PECOS EnrollmentBased on the most recent information from CMS, provider Tas Behavioral Health does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 2:30 PM.Profile DetailsProvider ID1144911603Provider TypeOrganizationFull NameTas Behavioral HealthSubpartNoEnumeration Date5/16/2023Last Updated12/27/2024Contact InformationPractice LocationPractice Address33 W Franklin St Ste 201, Hagerstown, MD 21740-4863Phone(240) 599-5177FaxUnlisted FaxMailing LocationMailing Address4300 Cedar Reach Ln, Bowie, MD 20720-5808Phone(240) 599-5177FaxUnlisted FaxAuthorized OfficialNameNkongchu, Linda (Owner Of Entity)Phone(240) 599-5177Provider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer