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ISSAIAH HOUSE NPI 1508388364


NPI Information

NPI: 1508388364
Provider Name: ISSAIAH HOUSE
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2802 HARFORD RD
BALTIMORE, MD
ZIP 21218
Phone: (443) 882-1943
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ISSAIAH HOUSE is a professional counselor in Baltimore, MD. ISSAIAH HOUSE NPI is 1508388364. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2802 HARFORD RD
BALTIMORE, MD
ZIP 21218-953
Phone: (443) 882-1943

The provider's authorized official is Darryl Braxton .
The authorized official title is Owner and has the following contact phone number (443) 882-1943.

The enumeration date for this NPI number is 7/13/2017 and was last updated on 12/10/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalLC7034MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1250016700MEDICAIDMARYLAND

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.