ANGEL FOUNDATION NPI 1003852286

NPI Information

NPI: 1003852286
Provider Name: ANGEL FOUNDATION
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
100 W 22ND ST
BALTIMORE, MD
ZIP 21218
Phone: (410) 467-0507
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ANGEL FOUNDATION is a mental health counselor in Baltimore, MD. ANGEL FOUNDATION NPI is 1003852286. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 W 22ND ST
BALTIMORE, MD
ZIP 21218-602
Phone: (410) 467-0507
Fax: (410) 467-2413

The provider's authorized official is Sharon F. Broy .
The authorized official title is Clinical Director and has the following contact phone number (410) 467-0507.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 8/22/2020.

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 Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LC0380	MARYLAND	Yes
2	1041C0700X	Social Worker	Clinical	09114	MARYLAND	X
3	1041C0700X	Social Worker	Clinical	04058	MARYLAND	X

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: 4/28/2024

NPI Synchronization or Removal

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