Healthcare Provider Details

I. General information

NPI: 1871304519
Provider Name (Legal Business Name): HEALTHY CHATTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 SMITH AVE FL 3
BALTIMORE MD
21209-3701
US

IV. Provider business mailing address

1340 SMITH AVE
BALTIMORE MD
21209-3701
US

V. Phone/Fax

Practice location:
  • Phone: 410-777-5895
  • Fax:
Mailing address:
  • Phone: 410-777-5895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. LAKESHA SMITH
Title or Position: CEO
Credential:
Phone: 443-648-0744