DAVID'S LOFT CLINICAL PROGRAMS (NPI# 1285175273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285175273 |
| Entity Type | Organization |
| Organization Name | DAVID'S LOFT CLINICAL PROGRAMS |
| Practice Address |
2641 Maryland Ave Baltimore MD 21218-4518 |
| Practice Telephone | 4108004226 |
| Mailing Telephone | 4108004226 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2019-04-08 |
| Authorized Official Name | MR. DAVID HENRY THOMPSON JR. (CEO) |
| Authorized Official Telephone | 4108004226 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2502 Maryland Ave, 1st Floor, Baltimore, MD 212184510 | 4102353257 | 4109466596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306119086 | David's Loft Clinical Programs | Counselor | 2641 Maryland Avenue, Baltimore, MD 21218 | 2012-02-11 |
| 1497306443 | David's Loft Clinical Programs | Counselor | 21 West Rd Ste 111, Towson, MD 21204-2307 | 2019-09-20 |
| 1982110953 | David's Loft Clinical Programs | Community/Behavioral Health | 2641 Maryland Ave, Baltimore, MD 21218-4518 | 2017-12-28 |
| Street Address |
2641 MARYLAND AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-4518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083898092 | David Henry Thompson Jr. | Counselor | 2641 Maryland Ave, Baltimore, MD 21218-4518 | 2007-12-27 |
| 1871103481 | Davids Loft Center for Somatic and Behavioral Healthcare | Clinic/Center | 2641 Maryland Ave, Baltimore, MD 21218-4518 | 2020-08-07 |
| 1982110953 | David's Loft Clinical Programs | Community/Behavioral Health | 2641 Maryland Ave, Baltimore, MD 21218-4518 | 2017-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091522 | Choices Integrated Healthcare | Counselor | 1600 Bush St, Baltimore, MD 21230-2021 | 2020-10-22 |
| 1730791609 | Tony C Shaw | Counselor | 2814 W Garrison Ave, Baltimore, MD 21215-5335 | 2020-08-20 |
| 1023628849 | Delores Jordan | Counselor | 2640 Oswego Ave, Baltimore, MD 21215-7037 | 2020-08-06 |
| 1144838277 | Guiding Lives | Counselor | 6305 Belair Rd, Baltimore, MD 21206-1817 | 2020-07-15 |
| 1750908943 | New Life Services LLC. | Counselor | 3600 W Mulberry St, Baltimore, MD 21229-2928 | 2020-07-03 |
| 1801413422 | Karena Tinika Lee | Counselor | 1336 Homestead St, Baltimore, MD 21218-3624 | 2020-06-30 |
| 1578189668 | Chenelle Gould | Counselor | 4018 Elmora Ave, Baltimore, MD 21213-2120 | 2020-06-24 |
| 1811513625 | Ebony Michelle Johnson | Counselor | 2808 Carver Rd, Baltimore, MD 21225-1312 | 2020-06-18 |
| 1992321798 | Robert Murray | Counselor | 1703 Windemere Ave, Baltimore, MD 21218-3029 | 2020-06-18 |
| 1629694591 | Natale Fiumara | Counselor | 821 N Eutaw St Ste 201, Baltimore, MD 21201-6301 | 2020-06-17 |
| 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.