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BALTIMORE CENTER FOR PSYCHOTHERAPY LLC NPI 1033839667


NPI Information

NPI: 1033839667
Provider Name: BALTIMORE CENTER FOR PSYCHOTHERAPY LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 21D0710716

Address:
623 W 34TH ST STE 105
BALTIMORE, MD
ZIP 21211
Phone: (443) 873-0635
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BALTIMORE CENTER FOR PSYCHOTHERAPY LLC is a mental health counselor in Baltimore, MD. BALTIMORE CENTER FOR PSYCHOTHERAPY LLC NPI is 1033839667. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

623 W 34TH ST STE 105
BALTIMORE, MD
ZIP 21211-658
Phone: (443) 873-0635

The provider's authorized official is Kathleen Fanone .
The authorized official title is Co-director and has the following contact phone number (240) 412-8880.

The CLIA number assigned to this NPI record is 21D0710716 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/1/2022 and was last updated on 9/1/2022.


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
1101YM0800XCounselorMental HealthYes

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: 5/5/2024

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.