PASSIONATE BEHAVIORAL HEALTH CENTER INC (NPI# 1639716889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639716889 |
| Entity Type | Organization |
| Organization Name | PASSIONATE BEHAVIORAL HEALTH CENTER INC |
| Practice Address |
19 Walker Ave Ste 304 Pikesville MD 21208-4067 |
| Practice Telephone | 4432138242 |
| Practice Fax Number | 4438080476 |
| Mailing Telephone | 4432138242 |
| Mailing Fax Number | 4438080476 |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | FULAI VERONICA DIOM (CO-OWNER / CO-FOUNDER) |
| Authorized Official Telephone | 4432138243 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215552062 | Passionate Behavioral Health Center Inc | Behavior Technician | 19 Walker Ave Ste 304, Pikesville, MD 21208-4067 | 2020-06-08 |
| 1114564358 | Passionate Behavioral Health Center Inc | Case Manager/Care Coordinator | 19 Walker Ave Ste 304, Pikesville, MD 21208-4067 | 2019-12-06 |
| 1376102970 | Passionate Behavioral Health Center Inc | Counselor | 19 Walker Ave Ste 304, Pikesville, MD 21208-4067 | 2019-06-07 |
| Street Address |
19 WALKER AVE STE 304 |
| City | PIKESVILLE |
| State | MD |
| Zip Code | 21208-4067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215552062 | Passionate Behavioral Health Center Inc | Behavior Technician | 19 Walker Ave Ste 304, Pikesville, MD 21208-4067 | 2020-06-08 |
| 1114564358 | Passionate Behavioral Health Center Inc | Case Manager/Care Coordinator | 19 Walker Ave Ste 304, Pikesville, MD 21208-4067 | 2019-12-06 |
| 1376102970 | Passionate Behavioral Health Center Inc | Counselor | 19 Walker Ave Ste 304, Pikesville, MD 21208-4067 | 2019-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292017 | Citywide Community Resources Corporation | Community/Behavioral Health | 17 Warren Road Suite 20b, Room 7, Pikesville, MD 21208 | 2019-12-13 |
| 1801442967 | Delight Health Care Services, LLC | Adult Companion | 8 Sudbrook Lane, Suite A, Pikesville, MD 21208 | 2019-08-14 |
| 1295398154 | Building Blocks Healthcare Network LLC | Counselor | 4000 Old Court Rd. Suite # 206, Pikesville, MD 21208 | 2019-04-17 |
| 1851892897 | For Hope's Sake, LLC. | Substance Abuse Rehabilitation Facility | 1326 Greenwood Rd, Baltimore, MD 21208 | 2018-02-26 |
| 1194254482 | One Day At A Time Personal Care LLC. | Home Health | 103 Sudbrook Lane, Suite9, Pikesville, MD 21208 | 2017-06-08 |
| 1871946467 | Lori Pasch | Social Worker | 7211 Park Heights Avenue, Suite 4, Baltimore, MD 21208 | 2016-07-19 |
| 1669822706 | Holly Hibbard | Physical Therapist | 575 South Charles Street, Suite 201, Baltimore, MD 21208 | 2016-06-20 |
| 1497102867 | Pikesville Health Services LLC | Clinic/Center | 1209 Greenwood Rd, Baltimore, MD 21208 | 2016-05-16 |
| 1093183030 | Homecentris Community Care, LLC | Clinic/Center | 1500 Bedford Ave, Baltimore, MD 21208 | 2015-09-08 |
| 1225413404 | Daniel Chernoff | Occupational Therapist | 3118 Marnat Rd, Baltimore, MD 21208 | 2015-07-29 |
| Find all providers in zip 21208 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697640 | Peaceful Minds Residential Services | Substance Abuse Rehabilitation Facility | 3704 S Hanover St, Baltimore, MD 21225-1773 | 2020-10-22 |
| 1215548573 | Peaceful Minds Residential Services | Substance Abuse Rehabilitation Facility | 3704 S Hanover St Unit 2a2b, Baltimore, MD 21225-1773 | 2020-08-11 |
| 1093332595 | A Brighter Day Behavioral Health Center | Substance Abuse Rehabilitation Facility | 8350 Bristol Ct Ste 101, Jessup, MD 20794-9756 | 2020-06-30 |
| 1497316715 | Center for Creative Values, Inc | Substance Abuse Rehabilitation Facility | 8110 Harford Road, Suite B, Parkville, MD 21234-2123 | 2019-06-26 |
| 1255875753 | Contemporary Family Services, Inc | Substance Abuse Rehabilitation Facility | 6525 Belcrest Rd., G40, Hyattsville, MD 20782-2003 | 2016-12-19 |
| 1356694277 | One World Foundation | Substance Abuse Rehabilitation Facility | 807 Balsamtree Dr, Capitol Heights, MD 20743-1427 | 2012-10-16 |
| 1932334406 | Victor Cullen Center | Substance Abuse Rehabilitation Facility | 6000 Cullen Dr, Sabillasville, MD 21780-9701 | 2009-05-27 |
| 1316115454 | Second Genesis, Inc | Substance Abuse Rehabilitation Facility | 4620 Melwood Rd, Upper Marlboro, MD 20772-9507 | 2008-02-12 |
| 1538355524 | Meadow Mountain Drug Treatment Program | Substance Abuse Rehabilitation Facility | 234 Recovery Rd, Grantsville, MD 21536-2217 | 2007-09-24 |
| 1124223979 | Collington Square Non Profit Corporation | Substance Abuse Rehabilitation Facility | 1211 N Chester St, Baltimore, MD 21213-3330 | 2007-06-20 |
| Find all providers with the same taxonomy | ||||
| City | PIKESVILLE |
| Zip Code | 21208 |
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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.