EPIPHANY FAMILY SERVICES- MARYLAND LLC (NPI# 1104326487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104326487 |
Entity Type | Organization |
Organization Name | EPIPHANY FAMILY SERVICES- MARYLAND LLC |
Other Organization Name | NEXT STEP TREATMENT CENTER |
Practice Address |
5900 York Rd Ste 202 Baltimore MD 21212-3098 |
Practice Telephone | 4438737193 |
Practice Fax Number | 4106307882 |
Mailing Telephone | 4438737193 |
Mailing Fax Number | 4106307882 |
Enumeration Date | 2018-02-13 |
Last Update Date | 2018-03-17 |
Authorized Official Name | DR. ANTHONY ESTREET (CEO/EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 4437081717 |
Authorized Official Credential | LCSW-C, LCADC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
MD | Ambulatory Health Care Facilities | |
N | 251S00000X | Community/Behavioral Health | Agencies | ||
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Next Step Treatment Center | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
3301 Belair Rd, Baltimore, MD 212131257 | 4438737193 | 4106307882 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710475959 | Epiphany Family Services- Maryland LLC | Community/Behavioral Health | 3301 Belair Rd Ste 2, Baltimore, MD 21213-1257 | 2018-04-24 |
1225526528 | Epiphany Family Services- Maryland LLC | Clinic/Center | 3301 Belair Rd Ste 2, Baltimore, MD 21213-1257 | 2018-04-23 |
Street Address |
5900 YORK RD STE 202 |
City | BALTIMORE |
State | MD |
Zip Code | 21212-3098 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093375255 | A Calm Place Counseling, LLC | Counselor | 5900 York Rd Ste 202, Baltimore, MD 21212-3098 | 2019-06-19 |
1437719184 | A Calm Place Counseling, LLC | Clinic/Center | 5900 York Rd Ste 202, Baltimore, MD 21212-3098 | 2019-06-15 |
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 | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1043838956 | Alpha New Hope Health Services | Clinic/Center | 38 S Dundalk Ave Ste B1, Baltimore, MD 21222-4280 | 2020-07-07 |
1700402740 | Guiding Lives | Clinic/Center | 6305 Belair Rd Ste 2, Baltimore, MD 21206-1817 | 2020-06-24 |
1881217859 | Thrive Telepsychiatry, LLC | Clinic/Center | 6905 York Rd # 38, Baltimore, MD 21212-1510 | 2020-05-25 |
1225651433 | Debobeth Medical Center | Clinic/Center | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-21 |
1669094116 | The Balance Center, LLC | Clinic/Center | 5859 Western Run Dr Apt C, Baltimore, MD 21209-4140 | 2020-05-07 |
1699300863 | Treasure Health Systems, Inc | Clinic/Center | 1900 E Northern Pkwy Ste 209, Baltimore, MD 21239-2110 | 2020-03-09 |
1932734266 | Redeeming Light Wellness Center LLC | Clinic/Center | 1 N Charles St Ste 1503, Baltimore, MD 21201-3724 | 2020-03-06 |
1649805078 | Empowering Minds Resource Center | Clinic/Center | 1800 N Charles St Fl 6, Baltimore, MD 21201-5920 | 2020-03-05 |
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.