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

Brook Lane Behavioral Services, Inc

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1063721512

Brook Lane Behavioral Services, Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in Frederick, Maryland. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4540 Mack Ave Ste B
Frederick, MD 21703-3303
Phone: (301) 733-0330
Fax: (301) 733-4038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1063721512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Repac — Cfo · (301) 790-9351
Other names Brook Lane Buckeystown
NPI enumeratedOctober 1, 2010
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing address4540 Mack Ave Ste B, Frederick, MD 21703-3303

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