Healthcare Provider Details

I. General information

NPI: 1376406942
Provider Name (Legal Business Name): ONE PROMISE COUNSELING AND EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5126 HARFORD RD
BALTIMORE MD
21214-2923
US

IV. Provider business mailing address

6207 BELAIR RD
BALTIMORE MD
21206-1942
US

V. Phone/Fax

Practice location:
  • Phone: 443-835-2681
  • Fax:
Mailing address:
  • Phone: 443-835-2681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: CRAIG HOWARD LIPPENS
Title or Position: PROGRAM ADMINISTRATOR
Credential:
Phone: 410-382-0528