PROF. LELA BLUE-CAMPBELL


Address: 800 N Fulton Ave, Baltimore, MD 21217-1425
Phone: 4439048216

PROF. LELA BLUE-CAMPBELL (NPI# 1013319581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013319581
Entity Type Individual
Full Name PROF. LELA BLUE-CAMPBELL
Credential LCPC
Practice Address 800 N Fulton Ave
Baltimore
MD 21217-1425
Practice Telephone 4439048216
Practice Fax Number 4104620144
Mailing Telephone 4439048216
Mailing Fax Number 4104620144
Enumeration Date 2014-09-16
Last Update Date 2019-07-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LC5896 MD Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
LC5896 MD Behavioral Health & Social Service Providers

Office Location

Street Address 800 N FULTON AVE
City BALTIMORE
State MD
Zip Code 21217-1425

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1720421324 Ellarwee Gadsden Counselor 800 N Fulton Ave, Baltimore, MD 21217-1425 2013-04-12
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21217

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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