Healthcare Provider Details

I. General information

NPI: 1518776913
Provider Name (Legal Business Name): SHIFTED NOTIONS BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/01/2025
Last Update Date: 04/05/2025
Certification Date: 04/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8865 STANFORD BLVD STE 202
COLUMBIA MD
21045-5422
US

IV. Provider business mailing address

8865 STANFORD BLVD STE 202
COLUMBIA MD
21045-5422
US

V. Phone/Fax

Practice location:
  • Phone: 443-857-7708
  • Fax:
Mailing address:
  • Phone: 443-857-7708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CHARNEE BOWENS
Title or Position: CHIEF EXECUTIVE OFFICER/FOUNDER
Credential: CPRP, M.ED
Phone: 443-857-7708