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REFORMING LIVES NPI 1083142335


NPI Information

NPI: 1083142335
Provider Name: REFORMING LIVES
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
5900 YORK RD STE 108
BALTIMORE, MD
ZIP 21212
Phone: (443) 682-7079
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REFORMING LIVES is an adult mental health clinic center in Baltimore, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. REFORMING LIVES NPI is 1083142335. The provider is registered as an organization entity type.

The provider's business location address is:

5900 YORK RD STE 108
BALTIMORE, MD
ZIP 21212-023
Phone: (443) 682-7079

The provider's authorized official is Sheena Green .
The authorized official title is Therapist/owner and has the following contact phone number (443) 682-7079.

The enumeration date for this NPI number is 5/31/2017 and was last updated on 6/16/2018.


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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2261QM0850XClinic/CenterAdult Mental HealthYes

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
1521607900MEDICAIDMARYLAND

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

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