Healthcare Provider Details

I. General information

NPI: 1184101784
Provider Name (Legal Business Name): C&C ADVOCACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2018
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 S. CATON AVENUE SUITE 105
BALTIMORE MD
21227-1029
US

IV. Provider business mailing address

1421 S. CATON AVENUE SUITE 105
BALTIMORE MD
21227-1029
US

V. Phone/Fax

Practice location:
  • Phone: 443-929-1928
  • Fax:
Mailing address:
  • Phone: 443-929-1928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberBH001051
License Number StateMD

VIII. Authorized Official

Name: MR. CATHLYN CLARKE
Title or Position: FOUNDER/CEO
Credential:
Phone: 443-929-1928