MEDICARE: INDEPENDENCE & COMPANY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	251B00000X	Case Management Agency
3	175T00000X	Peer Specialist
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1609729102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDEPENDENCE & COMPANY

Provider Business Mailing Address
First Line	:	336 SAINT PAUL ST APT 4
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21202-4281
Country	:	US
Telephone Number	:	443-303-6958
Fax Number	:

Provider Business Practice Location Address
First Line	:	336 SAINT PAUL ST APT 4
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21202-4281
Country	:	US
Telephone Number	:	443-303-6958
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	MS. TEARIEA ARCHER
Credential	:
Telephone Number	:	443-303-6958

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	03/17/2026

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Directions to “INDEPENDENCE & COMPANY ” Practice Location

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