Healthcare Provider Details
I. General information
NPI: 1669081576
Provider Name (Legal Business Name): MIGHTY BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/27/2020
Last Update Date: 07/30/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11 E LEXINGTON ST STE 100
BALTIMORE MD
21202-1732
US
IV. Provider business mailing address
11 E LEXINGTON ST STE 100
BALTIMORE MD
21202-1732
US
V. Phone/Fax
- Phone: 667-260-2933
- Fax: 410-826-3855
- Phone: 667-260-2933
- Fax: 410-826-3855
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WP0809X |
| Taxonomy | Adult Psychiatric/Mental Health Registered Nurse |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
BENNY
MESFIN
Title or Position: PRESIDENT
Credential: PMHNP-BC
Phone: 512-947-2747