Healthcare Provider Details

I. General information

NPI: 1114620911
Provider Name (Legal Business Name): HEALING STORIES BEHAVIORAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 01/31/2024
Certification Date: 01/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 BALTIMORE NATIONAL PIKE SUITE B-01,B-02,B-03
CATONSVILLE MD
21228-2911
US

IV. Provider business mailing address

6100 BALTIMORE NATIONAL PIKE STE B-01, B-02,B-03
CATONSVILLE MD
21228-2911
US

V. Phone/Fax

Practice location:
  • Phone: 717-480-3573
  • Fax:
Mailing address:
  • Phone: 443-695-8146
  • 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
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VALENTINE OFUOKWU
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 443-695-8146