MEDICARE: TIME OUTPATIENT MENTAL HEALTH CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275956377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIME OUTPATIENT MENTAL HEALTH CLINIC

Provider Business Mailing Address
First Line	:	2901 DRUID PARK DR STE A202
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-8131
Country	:	US
Telephone Number	:	410-225-0062
Fax Number	:	410-225-0184

Provider Business Practice Location Address
First Line	:	2901 DRUID PARK DR STE A210
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-8137
Country	:	US
Telephone Number	:	410-225-0062
Fax Number	:	410-225-0184

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	MS. LAUREN N HERRON
Credential	:	LCSW-C
Telephone Number	:	410-227-9426

Provider Enumeration Date	:	01/24/2014
Last Update Date	:	07/08/2019

Similar Medicare Providers

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1134335441 — JULIE DAWN PREIS
Practice Location Address:

7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244

Practice Phone: 410-786-0525
Practice Fax:

1740558790 — ROBINSON GIRALDO LICSW, LCSW-C
Practice Location Address:

2901 DRUID PARK DR STE A210
BALTIMORE, MD
21215-8137

Practice Phone: 443-872-2230
Practice Fax: 443-872-2227

1861924086 — TIME ORGANIZATION, INC.
Practice Location Address:

2901 DRUID PARK DR STE A210
BALTIMORE, MD
21215-8137

Practice Phone: 410-227-9426
Practice Fax:

1710475173 — KEIANA GREENE
Practice Location Address:

2901 DRUID PARK DR STE A210
BALTIMORE, MD
21215-8137

Practice Phone: 443-872-2230
Practice Fax:

Directions to “TIME OUTPATIENT MENTAL HEALTH CLINIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.