Healthcare Provider Details

I. General information

NPI: 1235786609
Provider Name (Legal Business Name): PERFECTED MEDICAL BILLING & CONSULTING SERVICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2019
Last Update Date: 12/23/2024
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4920 BELAIR RD STE 1C
BALTIMORE MD
21206-5601
US

IV. Provider business mailing address

7000 GOLDEN RING RD UNIT 9564
ROSEDALE MD
21237-7603
US

V. Phone/Fax

Practice location:
  • Phone: 443-567-6120
  • Fax: 443-567-6120
Mailing address:
  • Phone: 410-654-7576
  • Fax: 443-708-3649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. TERRI FIELDS
Title or Position: CEO/PROGRAM DIRECTOR
Credential: CPAT,CPC,CTLC,CS
Phone: 443-567-6120