Healthcare Provider Details

I. General information

NPI: 1619653268
Provider Name (Legal Business Name): ANITA LINA ROBINSON CHES, CCHW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 06/29/2023
Certification Date: 06/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1711 WINFORD RD
BALTIMORE MD
21239-3731
US

IV. Provider business mailing address

1711 WINFORD RD
BALTIMORE MD
21239-3731
US

V. Phone/Fax

Practice location:
  • Phone: 240-626-1125
  • Fax:
Mailing address:
  • Phone: 240-626-1125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number33323
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number00388-20-A
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number33323
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: