Healthcare Provider Details

I. General information

NPI: 1114869120
Provider Name (Legal Business Name): FREE BALTIMORE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 N CHARLES ST STE 303
BALTIMORE MD
21201-5592
US

IV. Provider business mailing address

1120 N CHARLES ST STE 303
BALTIMORE MD
21201-5592
US

V. Phone/Fax

Practice location:
  • Phone: 443-759-7075
  • Fax:
Mailing address:
  • Phone: 443-759-7075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: VERONICA S LOGAN
Title or Position: OWNER
Credential:
Phone: 443-416-5667