Healthcare Provider Details

I. General information

NPI: 1144148024
Provider Name (Legal Business Name): BAY AREA COUNSELING & CONSULTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 HOLIDAY CT STE 310
ANNAPOLIS MD
21401-7008
US

IV. Provider business mailing address

134 HOLIDAY CT STE 310
ANNAPOLIS MD
21401-7008
US

V. Phone/Fax

Practice location:
  • Phone: 410-553-4450
  • Fax: 410-553-4086
Mailing address:
  • Phone: 410-553-4450
  • Fax: 410-553-4086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DENISE REIDY-KNIGHT
Title or Position: ADMIN
Credential:
Phone: 845-551-9673