| Molding Minds Llc | |
|
2000 Girard Ave Baltimore MD 21211-1595 | |
| (410) 929-1596 | |
| Not Available |
| Full Name | Molding Minds Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2000 Girard Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Angela Faith Noppenberger (OWNER) |
| Authorized Official Contact | 4436218722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Molding Minds Llc 2000 Girard Ave Baltimore MD 21211-1595 Ph: (410) 929-1596 | Molding Minds Llc 2000 Girard Ave Baltimore MD 21211-1595 Ph: (410) 929-1596 |
| NPI Number | 1174084107 |
|---|---|
| Provider Enumeration Date | 03/31/2019 |
| Last Update Date | 04/28/2019 |
| Medicare PECOS PAC ID | 3274860176 |
|---|---|
| Medicare Enrollment ID | O20190815002031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174084107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Angela Faith Noppenberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003195975 PECOS PAC ID: 1759558174 Enrollment ID: I20120125000370 |
Trinity Healthcare Services Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Belair Rd, Baltimore, MD 21206 Phone: 410-325-1850 | |
Michael B. Freedman Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6006 Park Heights Ave, Baltimore, MD 21215 Phone: 410-790-8433 Fax: 443-501-3379 | |
Sankofa Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Key Hwy, Unit 442, Baltimore, MD 21230 Phone: 301-758-3682 | |
Home Free Iop Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W Madison St Ste 11, Baltimore, MD 21201 Phone: 443-438-5239 | |
All Walks Of Life, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E 25th St, Baltimore, MD 21218 Phone: 410-558-0019 | |
Devaughn Intervention Teach And Treat Options Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4804 York Rd Ste 2, Baltimore, MD 21212 Phone: 443-873-8958 Fax: 443-873-8959 | |
Darryl M Coleman Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N Monroe St, Baltimore, MD 21223 Phone: 443-708-4391 Fax: 443-708-4436 |