Healthcare Provider Details

I. General information

NPI: 1790694578
Provider Name (Legal Business Name): T.W.S. COMMUNITY OUTREACH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 N CHESTER ST
BALTIMORE MD
21213-3330
US

IV. Provider business mailing address

6801 BELAIR RD
BALTIMORE MD
21206-1121
US

V. Phone/Fax

Practice location:
  • Phone: 410-665-3000
  • Fax:
Mailing address:
  • Phone:
  • 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 Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CREOLA LEVY
Title or Position: CEO
Credential: LCPC
Phone: 443-221-0566