Healthcare Provider Details

I. General information

NPI: 1487524039
Provider Name (Legal Business Name): HEAL-BALTIMORE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5404 HARFORD RD
BALTIMORE MD
21214-2215
US

IV. Provider business mailing address

5404 HARFORD RD
BALTIMORE MD
21214-2215
US

V. Phone/Fax

Practice location:
  • Phone: 443-570-3710
  • Fax:
Mailing address:
  • Phone: 443-570-3710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RHONDA SAPP
Title or Position: EXECUTIVE DIRECTOR
Credential: DOM, M.AC., L.AC.
Phone: 443-570-3710