| Harvest Of Hope Behavioral Health | |
|
720 Maiden Choice Ln # Condoc Catonsville MD 21228-5940 | |
| (443) 334-5732 | |
| (443) 334-5738 |
| Full Name | Harvest Of Hope Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 720 Maiden Choice Ln # Condoc, Catonsville, Maryland |
| Authorized Official Name and Position | Robin Lawrence (CEO) |
| Authorized Official Contact | 4433345732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvest Of Hope Behavioral Health 720 Maiden Choice Ln Catonsville MD 21228-5940 Ph: (443) 334-5732 | Harvest Of Hope Behavioral Health 720 Maiden Choice Ln # Condoc Catonsville MD 21228-5940 Ph: (443) 334-5732 |
| NPI Number | 1124688833 |
|---|---|
| Provider Enumeration Date | 06/14/2019 |
| Last Update Date | 09/29/2023 |
| Medicare PECOS PAC ID | 3375941099 |
|---|---|
| Medicare Enrollment ID | O20211012000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124688833 | NPI | - | NPPES |
| 1124688833 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Josie Dantzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992219885 PECOS PAC ID: 0749514180 Enrollment ID: I20190619000478 |
| Provider Name | Catherine W Koskei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992304372 PECOS PAC ID: 2264826981 Enrollment ID: I20220223001174 |
| Provider Name | Kathleen J Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376657460 PECOS PAC ID: 6406886159 Enrollment ID: I20220630002785 |
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