MEDICARE: TOTALLY WHOLE PASTORAL COUNSELING SERVICES, 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	1041C0700X	Clinical Social Worker	06625	MD

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	:	1811341548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTALLY WHOLE PASTORAL COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	1601 ST. PAUL STREET
Second Line	:	2ND FLOOR
City	:	BALTIMORE
State	:	MD
Zip	:	21202-4871
Country	:	US
Telephone Number	:	410-728-1800
Fax Number	:	410-728-1808

Provider Business Practice Location Address
First Line	:	1601 ST. PAUL STREET
Second Line	:	2ND FLOOR
City	:	BALTIMORE
State	:	MD
Zip	:	21202-4871
Country	:	US
Telephone Number	:	410-728-1800
Fax Number	:	410-728-1808

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	DR. ROSEMARY COOK JOHNSON
Credential	:	LCSW-C
Telephone Number	:	410-728-1800

Provider Enumeration Date	:	04/19/2016
Last Update Date	:	12/18/2025

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Directions to “TOTALLY WHOLE PASTORAL COUNSELING SERVICES, LLC ” Practice Location

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