| Holistic Health - Counseling & Coaching | |
|
2453 Maryland Ave Fl 1 Baltimore MD 21218-5018 | |
| (410) 804-5800 | |
| Not Available |
| Full Name | Holistic Health - Counseling & Coaching |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2453 Maryland Ave Fl 1, Baltimore, Maryland |
| Authorized Official Name and Position | Raven Spady (CEO) |
| Authorized Official Contact | 4436916906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Health - Counseling & Coaching 2453 Maryland Ave Fl 1 Baltimore MD 21218-5018 Ph: () - | Holistic Health - Counseling & Coaching 2453 Maryland Ave Fl 1 Baltimore MD 21218-5018 Ph: (410) 804-5800 |
| NPI Number | 1295349652 |
|---|---|
| Provider Enumeration Date | 09/03/2020 |
| Last Update Date | 01/03/2024 |
| Certification Date | 01/03/2024 |
| Medicare PECOS PAC ID | 5496191181 |
|---|---|
| Medicare Enrollment ID | O20240318000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295349652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Raven Spady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700263142 PECOS PAC ID: 3779989314 Enrollment ID: I20210908001291 |
| Provider Name | Glory Tataw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033782115 PECOS PAC ID: 7113303082 Enrollment ID: I20220929001755 |
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