Healthcare Provider Details

I. General information

NPI: 1184749962
Provider Name (Legal Business Name): DESIA PATRICIA HOLT CSC-AD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 PARK AVE
BALTIMORE MD
21201-3402
US

IV. Provider business mailing address

4724 WAKEFIELD RD APT. 204
BALTIMORE MD
21216-1058
US

V. Phone/Fax

Practice location:
  • Phone: 410-837-5533
  • Fax: 410-837-8020
Mailing address:
  • Phone: 410-837-5533
  • Fax: 410-837-8020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberSCI307
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: