Healthcare Provider Details

I. General information

NPI: 1669858312
Provider Name (Legal Business Name): HEALTH ALLIANCE ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2015
Last Update Date: 07/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 E BALTIMORE ST
BALTIMORE MD
21202-4705
US

IV. Provider business mailing address

1017 E BALTIMORE ST
BALTIMORE MD
21202-4705
US

V. Phone/Fax

Practice location:
  • Phone: 410-675-7500
  • Fax: 443-230-0059
Mailing address:
  • Phone: 410-675-7500
  • Fax: 443-230-0059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BRITTANI BRUNN
Title or Position: CEO
Credential:
Phone: 410-675-7500