Healthcare Provider Details

I. General information

NPI: 1821923210
Provider Name (Legal Business Name): EMDR WITH ALEX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2931 KESWICK RD # 1022
BALTIMORE MD
21211-2733
US

IV. Provider business mailing address

5835 YORK RD # 1022
BALTIMORE MD
21212-3612
US

V. Phone/Fax

Practice location:
  • Phone: 805-674-3319
  • Fax:
Mailing address:
  • Phone:
  • 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

VIII. Authorized Official

Name: MS. ALEXANDRIA ADAMS
Title or Position: CLINICAL SOCIAL WORKER
Credential:
Phone: 443-218-6490