Healthcare Provider Details

I. General information

NPI: 1811820863
Provider Name (Legal Business Name): Y2M THERAPY PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

6600 YORK RD STE 202
BALTIMORE MD
21212-2024
US

IV. Provider business mailing address

6600 YORK RD STE 202
BALTIMORE MD
21212-2024
US

V. Phone/Fax

Practice location:
  • Phone: 443-908-2189
  • Fax:
Mailing address:
  • Phone: 443-908-2189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TYLYNN CLARK
Title or Position: CEO
Credential:
Phone: 443-908-2189