Healthcare Provider Details
I. General information
NPI: 1184249922
Provider Name (Legal Business Name): BUILDING PEOPLE BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/08/2020
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
326 SAINT PAUL PLACE STE 1ST. & 2ND FLOOR
BALTIMORE MD
21202-2111
US
IV. Provider business mailing address
326 SAINT PAUL ST
BALTIMORE MD
21202-2125
US
V. Phone/Fax
- Phone: 410-864-2973
- Fax:
- Phone: 410-864-2973
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 175T00000X |
| Taxonomy | Peer Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SCOTTEANA
V
CARTER
Title or Position: PROGRAM DIRECTOR
Credential: MBA
Phone: 410-864-2973