Healthcare Provider Details

I. General information

NPI: 1447004601
Provider Name (Legal Business Name): THE T.I.M.E ORGANIZATION GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2024
Last Update Date: 04/15/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 HARLEM AVE
BALTIMORE MD
21217-2429
US

IV. Provider business mailing address

300 E LOMBARD ST STE 1700
BALTIMORE MD
21202-3243
US

V. Phone/Fax

Practice location:
  • Phone: 410-227-9426
  • Fax:
Mailing address:
  • Phone: 410-227-9426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. LAUREN HERRON
Title or Position: COO
Credential: LCSW-C
Phone: 410-227-9426