Healthcare Provider Details

I. General information

NPI: 1922912948
Provider Name (Legal Business Name): CHANGING FACES HEALTH AND THERAPEUTIC SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 W EAGER ST STE 310
BALTIMORE MD
21201-5470
US

IV. Provider business mailing address

10 W EAGER ST STE 310
BALTIMORE MD
21201-5470
US

V. Phone/Fax

Practice location:
  • Phone: 443-764-9340
  • Fax:
Mailing address:
  • Phone: 443-764-9340
  • 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 TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. ANDREA SCOTT
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 443-992-3768