Healthcare Provider Details

I. General information

NPI: 1629982178
Provider Name (Legal Business Name): I'M STILL STANDING BY GRACE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 MARGATE DR
GLEN BURNIE MD
21060-7003
US

IV. Provider business mailing address

199 MARGATE DR
GLEN BURNIE MD
21060-7003
US

V. Phone/Fax

Practice location:
  • Phone: 443-831-0191
  • Fax: 410-355-2350
Mailing address:
  • Phone: 443-831-0191
  • Fax: 410-355-2350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: PAMELA RENEE DUKES
Title or Position: CEO
Credential: LCPC, LCADC
Phone: 443-831-0191