Healthcare Provider Details

I. General information

NPI: 1790291359
Provider Name (Legal Business Name): BEYOND HOUSING SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2017
Last Update Date: 12/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N CHARLES ST STE 202
BALTIMORE MD
21201-5907
US

IV. Provider business mailing address

1800 N CHARLES ST STE 202
BALTIMORE MD
21201-5907
US

V. Phone/Fax

Practice location:
  • Phone: 410-617-8223
  • Fax: 410-878-1962
Mailing address:
  • Phone: 410-617-8223
  • Fax: 410-878-1962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. ANGELA WILLIAMS
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 443-834-5043