Healthcare Provider Details

I. General information

NPI: 1760315733
Provider Name (Legal Business Name): I'M STILL STANDING COMMUNITY DEVELOPMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 S CATON AVE
HALETHORPE MD
21227-1013
US

IV. Provider business mailing address

1520 S CATON AVE
HALETHORPE MD
21227-1013
US

V. Phone/Fax

Practice location:
  • Phone: 443-438-3456
  • Fax:
Mailing address:
  • Phone: 443-438-3456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: LAWANA PERKINS
Title or Position: PRESIDENT / CEO
Credential:
Phone: 443-540-8255