| Bridging Gaps Through Positive Solutions | |
|
3103 Erdman Ave Baltimore MD 21213-1719 | |
| (443) 835-4825 | |
| Not Available |
| Full Name | Bridging Gaps Through Positive Solutions |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3103 Erdman Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Tyronda Mcdermott (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4437799316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridging Gaps Through Positive Solutions 3103 Erdman Ave Baltimore MD 21213-1719 Ph: (443) 835-4825 | Bridging Gaps Through Positive Solutions 3103 Erdman Ave Baltimore MD 21213-1719 Ph: (443) 835-4825 |
| NPI Number | 1679104210 |
|---|---|
| Provider Enumeration Date | 02/02/2020 |
| Last Update Date | 02/02/2020 |
| Certification Date | 02/02/2020 |
| Medicare PECOS PAC ID | 0244772788 |
|---|---|
| Medicare Enrollment ID | O20240612000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679104210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Brynne L Matthews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467018473 PECOS PAC ID: 9537499546 Enrollment ID: I20190917004126 |
| Provider Name | Mercy Oluchi Eke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801564745 PECOS PAC ID: 4981081866 Enrollment ID: I20220514000288 |
| Provider Name | Odunola Adeyeye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710609763 PECOS PAC ID: 4183083058 Enrollment ID: I20230711000039 |
| Provider Name | Catherine A Mccubbin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962634006 PECOS PAC ID: 7113370883 Enrollment ID: I20240130000084 |
| Provider Name | Kathy M Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598324121 PECOS PAC ID: 3577005024 Enrollment ID: I20240612000218 |
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