| Guiding Hands Llc | |
|
1900 E. Northern Pkwy Suite T-7 Baltimore MD 21239-2113 | |
| (443) 449-7573 | |
| (443) 449-7583 |
| Full Name | Guiding Hands Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1900 E. Northern Pkwy, Baltimore, Maryland |
| Authorized Official Name and Position | Lula Moultrie Heatley (OWNER) |
| Authorized Official Contact | 2402738062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Hands Llc 1900 E. Northern Pkwy Suite T-7 Baltimore MD 21239-2113 Ph: (443) 449-7573 | Guiding Hands Llc 1900 E. Northern Pkwy Suite T-7 Baltimore MD 21239-2113 Ph: (443) 449-7573 |
| NPI Number | 1649659442 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 12/09/2021 |
| Certification Date | 12/09/2021 |
| Medicare PECOS PAC ID | 6305248816 |
|---|---|
| Medicare Enrollment ID | O20210707000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649659442 | NPI | - | NPPES |
| 045579200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 16665 (Maryland) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lula M Heatley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164702098 PECOS PAC ID: 0042596975 Enrollment ID: I20170407001147 |
| Provider Name | Kenneth Rogers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205844669 PECOS PAC ID: 2668375411 Enrollment ID: I20210114000666 |
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