Healthcare Provider Details

I. General information

NPI: 1922984442
Provider Name (Legal Business Name): A PROSPEROUS TOMORROW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N HAVEN ST STE 301
BALTIMORE MD
21224-1612
US

IV. Provider business mailing address

3717 BOSTON ST STE 353
BALTIMORE MD
21224-5752
US

V. Phone/Fax

Practice location:
  • Phone: 443-630-7212
  • Fax:
Mailing address:
  • Phone: 443-630-7212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNULL

VIII. Authorized Official

Name: DEVIN JACKSON
Title or Position: PRESIDENT
Credential:
Phone: 443-570-1402