BRENDA BIVENS WILSON


Address: 1726 Bolton St, Baltimore, MD 21217-4904
Phone: 4103362937

BRENDA BIVENS WILSON (NPI# 1982211322) 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) 1982211322
Entity Type Organization
Organization Name BRENDA BIVENS WILSON
Practice Address 1726 Bolton St
Baltimore
MD 21217-4904
Practice Telephone 4103362937
Mailing Telephone 4103362937
Enumeration Date 2020-09-29
Last Update Date 2020-09-29
Authorized Official Name BRENDA B. WILSON (OWNER)
Authorized Official Telephone 4103362937
Authorized Official Credential MS, LGPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 1726 BOLTON ST
City BALTIMORE
State MD
Zip Code 21217-4904

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1912274150 Total Health Care Inc. Community/Behavioral Health 5101 Division Street, Baltimore, MD 21217 2011-11-16
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366043127 Ch Mh Services (md), LLC Community/Behavioral Health 12 W Montgomery St Ste 107, Baltimore, MD 21230-4490 2020-11-06
1568062099 Borderless Healthcare Services, LLC Community/Behavioral Health 1900 E Northern Pkwy Ste 308, Baltimore, MD 21239-2111 2020-10-26
1366056855 The Wel Foundation, LLC. Community/Behavioral Health 5858 Belair Rd, Baltimore, MD 21206-2661 2020-09-02
1679185177 Center for Youth and Families Inc Community/Behavioral Health 6304 Elinore Ave, Baltimore, MD 21206-1721 2020-08-18
1457977100 Apex Wellness Group, LLC Community/Behavioral Health 118 E 25th St Unit 2, Baltimore, MD 21218-5281 2020-06-18
1922622737 Johns Hopkins Bayview Medical Center, Inc. Community/Behavioral Health 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 2020-06-08
1669093829 Upcoming Enterprize Corporation Community/Behavioral Health 6615 Reisterstown Rd Ste Ll2, Baltimore, MD 21215-2686 2020-04-29
1922629344 Providing Empowerment Advocacy & Social Skills Community/Behavioral Health 2361 Flax Ter, Baltimore, MD 21209-4625 2020-04-27
1801415153 New Life Family Services LLC Community/Behavioral Health 3010 Ridgewood Ave Ste 210, Baltimore, MD 21215-6211 2020-04-15
1770111544 Dream Works Health and Wellness, LLC Community/Behavioral Health 935 S Wolfe St Fl 2, Baltimore, MD 21231-3515 2020-03-29
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Competitor

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City BALTIMORE
Zip Code 21217

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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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