MEDICARE: E & S BEHAVIORAL HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1437958733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E & S BEHAVIORAL HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	1 N CHARLES ST STE 1102B
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21201-3778
Country	:	US
Telephone Number	:	213-929-3436
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 N CHARLES ST STE 1102B
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21201-3778
Country	:	US
Telephone Number	:	213-929-3436
Fax Number	:

Authorized Official
Title or Position	:	CO OWNER
Name	:	SIMONE SOLOMON
Credential	:
Telephone Number	:	443-863-8362

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	04/03/2025

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