Healthcare Provider Details

I. General information

NPI: 1114626363
Provider Name (Legal Business Name): BHW ADDICTION MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2023
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 MARYLAND AVE
BALTIMORE MD
21218-5614
US

IV. Provider business mailing address

2131 MARYLAND AVE
BALTIMORE MD
21218-5614
US

V. Phone/Fax

Practice location:
  • Phone: 443-762-5343
  • Fax: 833-258-3941
Mailing address:
  • Phone: 443-762-5343
  • Fax: 833-258-3941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: AMARIS MURRAY
Title or Position: OWNER
Credential: CRNP
Phone: 443-762-5343