Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bootsie Center, LLC

Organization Community/Behavioral Health Agency · NPI 1730903220

Bootsie Center, LLC is a Community/Behavioral Health Agency in Port Republic, Maryland. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1925 Scientists Cliffs Rd
Port Republic, MD 20676-2405
Phone: (410) 474-6546
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1730903220
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rakeeda Commodore-Jenkins — Lcsw-C · (410) 474-6546
Other names Bootsie Center
NPI enumeratedNovember 11, 2024
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing address1925 Scientists Cliffs Rd, Port Republic, MD 20676-2405