QWAN NEEDUM


Address: 5230 Kelway Rd, Baltimore, MD 21239-3402
Phone: 4102624822

QWAN NEEDUM (NPI# 1194181065) 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) 1194181065
Entity Type Individual
Full Name QWAN NEEDUM
Practice Address 5230 Kelway Rd
Baltimore
MD 21239-3402
Practice Telephone 4102624822
Enumeration Date 2016-01-07
Last Update Date 2018-04-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 5230 KELWAY RD
City BALTIMORE
State MD
Zip Code 21239-3402

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21239

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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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