| Reforming Lives | |
|
5900 York Rd Ste 108 Baltimore MD 21212-3023 | |
| (443) 682-7079 | |
| Not Available |
| Full Name | Reforming Lives |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5900 York Rd Ste 108, Baltimore, Maryland |
| Authorized Official Name and Position | Sheena Green (THERAPIST/OWNER) |
| Authorized Official Contact | 4436827079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reforming Lives 1728 Chilton St Baltimore MD 21218-3713 Ph: () - | Reforming Lives 5900 York Rd Ste 108 Baltimore MD 21212-3023 Ph: (443) 682-7079 |
| NPI Number | 1083142335 |
|---|---|
| Provider Enumeration Date | 05/31/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083142335 | NPI | - | NPPES |
| 521607900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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