Healthcare Provider Details

I. General information

NPI: 1922698638
Provider Name (Legal Business Name): BUILDING PEOPLE BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2021
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 SAINT PAUL PLACE STE 1ST. & 2ND FLOOR
BALTIMORE MD
21202-2111
US

IV. Provider business mailing address

326 SAINT PAUL ST
BALTIMORE MD
21202-2125
US

V. Phone/Fax

Practice location:
  • Phone: 410-864-2973
  • Fax: 888-505-6793
Mailing address:
  • Phone: 410-864-2973
  • Fax: 888-505-6793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name: SCOTTEANA CARTER
Title or Position: PROGRAM DIRECTOR
Credential: MBA
Phone: 443-802-0284