Healthcare Provider Details

I. General information

NPI: 1356203319
Provider Name (Legal Business Name): LAWREN HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2025
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 GARRISON BLVD STE 110
BALTIMORE MD
21216-2308
US

IV. Provider business mailing address

2300 GARRISON BLVD STE 110
BALTIMORE MD
21216-2308
US

V. Phone/Fax

Practice location:
  • Phone: 443-402-5840
  • Fax:
Mailing address:
  • Phone: 443-402-5840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. BOBBIE NNODIM
Title or Position: PMHNP-BC
Credential:
Phone: 443-570-4815