MEDICARE: NEW INSIGHTS BEHAVIORAL HEALTH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
4	101YM0800X	Mental Health Counselor
5	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1700435914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW INSIGHTS BEHAVIORAL HEALTH

Provider Business Mailing Address
First Line	:	2718 WEST NORTH AVE
Second Line	:	SUITE 255
City	:	BALTIMORE
State	:	MD
Zip	:	21216-3138
Country	:	US
Telephone Number	:	410-919-8618
Fax Number	:

Provider Business Practice Location Address
First Line	:	2718 WEST NORTH AVE
Second Line	:	SUITE 255
City	:	BALTIMORE
State	:	MD
Zip	:	21216-3138
Country	:	US
Telephone Number	:	410-919-8618
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	MS. KAREN L TERRY
Credential	:
Telephone Number	:	410-449-5129

Provider Enumeration Date	:	09/10/2019
Last Update Date	:	10/20/2020

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