Healthcare Provider Details

I. General information

NPI: 1780588426
Provider Name (Legal Business Name): KLUTCH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6304 EASTERN PKWY
BALTIMORE MD
21214-1401
US

IV. Provider business mailing address

6304 EASTERN PARKWAY
BALTIMORE MD
21214-1401
US

V. Phone/Fax

Practice location:
  • Phone: 443-469-3372
  • Fax:
Mailing address:
  • Phone: 443-469-3372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ANTHONY EMANUEL MORRIS
Title or Position: FOUNDER/OWNER
Credential: LGPC
Phone: 718-594-7706