VICTORY HEALTH CARE SERVICES LLC (NPI# 1083252696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083252696 |
| Entity Type | Organization |
| Organization Name | VICTORY HEALTH CARE SERVICES LLC |
| Practice Address |
5808 York Rd Fl 2 Baltimore MD 21212-3624 |
| Practice Telephone | 4435299099 |
| Practice Fax Number | 4106178478 |
| Mailing Telephone | 4435299099 |
| Mailing Fax Number | 4106178478 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | BODE AKADRI (CEO) |
| Authorized Official Telephone | 4432045144 |
| Authorized Official Credential | MPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 424033200 | 05 |
| Other Name | Type Code |
|---|---|
| VICTORY HEALTH CARE SERVICES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205485588 | Victory Health Care Services LLC | Counselor | 5209 York Rd Ste 2, Baltimore, MD 21212-4225 | 2019-09-09 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1972978716 | Victory Health Care Services LLC | Community/Behavioral Health | 5808 York Rd Fl 2, Baltimore, MD 21212-3624 | 2015-12-04 |
| 1861005035 | Victory Health Care Services LLC | Clinic/Center | 5808 York Rd Fl 2, Baltimore, MD 21212-3624 | 2020-08-28 |
| 1578176731 | Victory Health Care Services LLC | Community/Behavioral Health | 5808 York Rd Fl 2, Baltimore, MD 21212-3624 | 2020-08-27 |
| 1699393744 | Victory Health Care Services LLC | Clinical Nurse Specialist | 5808 York Rd Fl 2, Baltimore, MD 21212-3624 | 2020-07-06 |
| Street Address |
5808 YORK RD FL 2 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21212-3624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972978716 | Victory Health Care Services LLC | Community/Behavioral Health | 5808 York Rd Fl 2, Baltimore, MD 21212-3624 | 2015-12-04 |
| 1861005035 | Victory Health Care Services LLC | Clinic/Center | 5808 York Rd Fl 2, Baltimore, MD 21212-3624 | 2020-08-28 |
| 1578176731 | Victory Health Care Services LLC | Community/Behavioral Health | 5808 York Rd Fl 2, Baltimore, MD 21212-3624 | 2020-08-27 |
| 1699393744 | Victory Health Care Services LLC | Clinical Nurse Specialist | 5808 York Rd Fl 2, Baltimore, MD 21212-3624 | 2020-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935227 | Leigh Anne Tabernero | Counselor | 6600 York Rd Suite 110, Towson, MD 21212 | 2019-08-01 |
| 1245734250 | Jeri Michele Mankye | Counselor | 814 Radnor Ave, Baltimore, MD 21212 | 2018-03-23 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1063927622 | Janice Furst | Psychologist | 421 Old Trail, Baltimore, MD 21212 | 2017-12-05 |
| 1689196537 | Huber Rehabilitation Services | Counselor | 500 Woodbourne, Baltimore, MD 21212 | 2017-07-12 |
| 1639608037 | Christina Joy Antolick | Behavior Technician | 1007 Lenton Ave, Baltimore, MD 21212 | 2017-06-08 |
| 1902359979 | Miriam Trader | Speech-Language Pathologist | 500 Overbrook Road, Baltimore, MD 21212 | 2016-07-26 |
| 1497137269 | Candy Carter | Social Worker | 5900 York Rd Ste 108, Baltimore, MD 21212 | 2015-06-29 |
| 1053703298 | Cathryne L. Maciolek, Psy.d., LLC | Psychologist | 540 E. Belvedere Avenue, Suite 203, Baltimore, MD 21212 | 2015-02-25 |
| 1891034831 | Ashley Martin | Social Worker | 6401 York Road Third Floor, Towson, MD 21212 | 2013-02-12 |
| Find all providers in zip 21212 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154482 | Inner Alchemy LLC | Counselor | 629 S Streeper St, Baltimore, MD 21224-3831 | 2020-11-05 |
| 1962002709 | This Generation Will Succeed, LLC | Counselor | 2835 Odonnell St Ste 203, Baltimore, MD 21224-4995 | 2020-10-30 |
| 1174123244 | Alexia N Smith | Counselor | 841 E Fort Ave # 385, Baltimore, MD 21230-5117 | 2020-10-28 |
| 1578179396 | Jomar Nicholas Mcfarlane | Counselor | 141 N Patterson Park Ave, Baltimore, MD 21231-1659 | 2020-09-17 |
| 1871106559 | Diana Harden | Counselor | 5022 Campbell Blvd # L-m, Baltimore, MD 21236-4969 | 2020-08-24 |
| 1053922708 | Shaindel Edelman | Counselor | 17 Warren Rd Ste 25b, Baltimore, MD 21208-5334 | 2020-08-14 |
| 1912524323 | Lydia Hubbard | Counselor | 1800 N Charles St Ste 1600, Baltimore, MD 21201-5920 | 2020-07-01 |
| 1184249922 | Building People Behavioral Health | Counselor | 2140 Mcculloh St, Baltimore, MD 21217-3529 | 2020-06-08 |
| 1033733274 | The Improving Quality of Life, LLC | Counselor | 5602 Baltimore National Pike Suite 300, Baltimore, MD 21228-1410 | 2020-06-03 |
| 1053933986 | David Lewis | Counselor | 125 N Hilton St, Baltimore, MD 21229-3748 | 2020-05-14 |
| Find all providers in BALTIMORE | ||||
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| 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.