Healthcare Provider Details

I. General information

NPI: 1558969451
Provider Name (Legal Business Name): HELPING OTHERS MANAGE EMOTIONS THERAPEUTIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2020
Last Update Date: 10/16/2020
Certification Date: 10/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4317 HARFORD RD
BALTIMORE MD
21214-3118
US

IV. Provider business mailing address

4317 HARFORD RD
BALTIMORE MD
21214-3118
US

V. Phone/Fax

Practice location:
  • Phone: 443-708-7510
  • Fax:
Mailing address:
  • Phone: 443-708-7510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ASHLIE CARR
Title or Position: CEO- THERAPIST
Credential:
Phone: 443-600-7151