Healthcare Provider Details

I. General information

NPI: 1932024148
Provider Name (Legal Business Name): MICHAEL DAMTEW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11350 MCCORMICK RD STE 1202
HUNT VALLEY MD
21031-1002
US

IV. Provider business mailing address

11350 MCCORMICK RD STE 1202
HUNT VALLEY MD
21031-1002
US

V. Phone/Fax

Practice location:
  • Phone: 410-205-9292
  • Fax:
Mailing address:
  • Phone: 410-205-9292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP18321
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: