Healthcare Provider Details

I. General information

NPI: 1023616976
Provider Name (Legal Business Name): KA PAIGE & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2020
Last Update Date: 10/13/2020
Certification Date: 10/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 GARRISON BLVD STE 150
BALTIMORE MD
21216-2316
US

IV. Provider business mailing address

2300 GARRISON BLVD STE 150
BALTIMORE MD
21216-2316
US

V. Phone/Fax

Practice location:
  • Phone: 410-233-3111
  • Fax: 410-233-3222
Mailing address:
  • Phone: 443-858-4154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. KARL A. PAIGE
Title or Position: OWNER
Credential: LCPC
Phone: 443-858-4154