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NPI Code Detail

MEDICARE: EXHALE BALTIMORE LLC

MEDICARE: EXHALE 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1801543905
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXHALE BALTIMORE LLC
Provider Business Mailing Address
First Line : 23 HARBORVIEW DR
Second Line :
City : BERLIN
State : MD
Zip : 21811-1521
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6340 SECURITY BLVD STE 100
Second Line :
City : GWYNN OAK
State : MD
Zip : 21207-5284
Country : US
Telephone Number : 410-562-6881
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KAREN BRADLEY-POFF
Credential : CRNP-PMH
Telephone Number : 410-562-6881
Provider Enumeration Date : 03/08/2022
Last Update Date : 11/14/2024

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Directions to “EXHALE BALTIMORE LLC ” Practice Location

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