Healthcare Provider Details

I. General information

NPI: 1134947492
Provider Name (Legal Business Name): TREASURE MCNEILL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2024
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 E COLD SPRING LN # 713
BALTIMORE MD
21251-0001
US

IV. Provider business mailing address

1700 E COLD SPRING LN # 713
BALTIMORE MD
21251-0001
US

V. Phone/Fax

Practice location:
  • Phone: 929-467-2014
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: