MEDICARE: FREE BALTIMORE, LLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1477495489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREE BALTIMORE, LLC

Provider Business Mailing Address
First Line	:	1120 N CHARLES ST STE 303
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21201-5592
Country	:	US
Telephone Number	:	443-759-7075
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 N CHARLES ST STE 303
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21201-5592
Country	:	US
Telephone Number	:	443-759-7075
Fax Number	:

Authorized Official
Title or Position	:	SOCIAL WORKER
Name	:	VERONICA S LOGAN
Credential	:	LCSW-C
Telephone Number	:	443-416-5667

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “FREE BALTIMORE, LLC ” Practice Location

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