Healthcare Provider Details

I. General information

NPI: 1396429288
Provider Name (Legal Business Name): COURTNEY BAEHR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6802 MCCLEAN BLVD
BALTIMORE MD
21234-7200
US

IV. Provider business mailing address

6802 MCCLEAN BLVD
BALTIMORE MD
21234-7200
US

V. Phone/Fax

Practice location:
  • Phone: 410-444-3800
  • Fax:
Mailing address:
  • Phone: 410-444-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number33186
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: