Healthcare Provider Details

I. General information

NPI: 1730864844
Provider Name (Legal Business Name): HEALING HOPE COMMUNITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2023
Last Update Date: 10/13/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N CHARLES ST STE 900
BALTIMORE MD
21201-5987
US

IV. Provider business mailing address

1800 N CHARLES ST STE 900
BALTIMORE MD
21201-5987
US

V. Phone/Fax

Practice location:
  • Phone: 443-300-6705
  • Fax:
Mailing address:
  • Phone: 443-300-6705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KARENA ROBERTS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 443-300-6705