Healthcare Provider Details
I. General information
NPI: 1124798178
Provider Name (Legal Business Name): TRANSITIONAL CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2021
Last Update Date: 05/05/2022
Certification Date: 05/05/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1340 SMITH AVE STE 200
BALTIMORE MD
21209-3796
US
IV. Provider business mailing address
1340 SMITH AVE STE 200
BALTIMORE MD
21209-3796
US
V. Phone/Fax
- Phone: 443-250-9989
- Fax:
- Phone: 410-779-1314
- Fax: 410-779-1336
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
CHARMAINE
NALTY
Title or Position: CEO
Credential: LCSW-C
Phone: 410-779-1314