GUADALUPE CENTER FOR HEALING NPI 1144716192

NPI Information

  • NPI: 1144716192
  • Provider Name: GUADALUPE CENTER FOR HEALING
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 1643 LIBERTY RD STE 105
    ELDERSBURG, MD
    ZIP 21784
  • Phone: (478) 250-7092

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NPI Details

GUADALUPE CENTER FOR HEALING is a medical specialty clinic center in Eldersburg, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). GUADALUPE CENTER FOR HEALING NPI is 1144716192. The provider is registered as an organization entity type.

The provider's business location address is:

1643 LIBERTY RD STE 105
ELDERSBURG, MD
ZIP 21784-545
Phone: (478) 250-7092

The provider's authorized official is Marjorie R Livingston .
The authorized official title is Owner and has the following contact phone number (478) 250-7092.

The enumeration date for this NPI number is 7/2/2018 and was last updated on 1/24/2024.

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
1261QM2500XClinic/CenterMedical SpecialtyW18924431MARYLANDYes

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: 11/21/2025

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