| Tender Hearts Llc | |
|
1515 N Fulton Ave Baltimore MD 21217-1609 | |
| (410) 517-4279 | |
| Not Available |
| Full Name | Tender Hearts Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1515 N Fulton Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Tyra Shanice Roberts (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4105174279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tender Hearts Llc 3205 Lord Baltimore Dr Windsor Mill MD 21244-2864 Ph: (410) 517-4279 | Tender Hearts Llc 1515 N Fulton Ave Baltimore MD 21217-1609 Ph: (410) 517-4279 |
| NPI Number | 1225570625 |
|---|---|
| Provider Enumeration Date | 11/16/2016 |
| Last Update Date | 11/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225570625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MH-2173 (Maryland) | Primary |
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