Healthcare Provider Details

I. General information

NPI: 1053203554
Provider Name (Legal Business Name): BKCG CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 09/27/2025
Certification Date: 09/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2304 HILLHOUSE RD
BALTIMORE MD
21207-6627
US

IV. Provider business mailing address

2304 HILLHOUSE RD
BALTIMORE MD
21207-6627
US

V. Phone/Fax

Practice location:
  • Phone: 667-461-6540
  • Fax:
Mailing address:
  • Phone: 667-461-6540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MELANIE CRAWFORD
Title or Position: OWNER
Credential: LCPC
Phone: 850-339-1422