Provider Type Icon

MATRIARCH SERVICES LLC NPI 1093474595


NPI Information

NPI: 1093474595
Provider Name: MATRIARCH SERVICES LLC

Doing Business As: MATRIARCH MENTAL HEALTH

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3715 GLEN AVE
BALTIMORE, MD
ZIP 21215
Phone: (443) 244-4211
Get Directions

MATRIARCH SERVICES LLC is a professional counselor in Baltimore, MD. MATRIARCH SERVICES LLC NPI is 1093474595. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Matriarch Mental Health.

The provider's business location address is:

3715 GLEN AVE
BALTIMORE, MD
ZIP 21215-548
Phone: (443) 244-4211

The provider's authorized official is Joshua Kleiner .
The authorized official title is Licensed Mental Health Therapist and has the following contact phone number (443) 244-4211.

The enumeration date for this NPI number is 12/12/2021 and was last updated on 3/1/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.