Healthcare Provider Details

I. General information

NPI: 1801409875
Provider Name (Legal Business Name): PEACEFUL BEGINNINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2020
Last Update Date: 04/29/2021
Certification Date: 04/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3716 HILLSDALE RD
BALTIMORE MD
21207-7639
US

IV. Provider business mailing address

PO BOX 31563
GWYNN OAK MD
21207-8563
US

V. Phone/Fax

Practice location:
  • Phone: 609-600-4163
  • Fax:
Mailing address:
  • Phone: 410-501-9875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. ANIKA JOHNSON
Title or Position: CNM
Credential: MSN
Phone: 609-600-4163