# CARNATION AND ARROW THERAPEUTIC SERVICES, LC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154196277
- **Authorized official:** CARLEY KELCEE AGUEDA-DIVENS LCSW-C (OWNER)
- **Authorized official phone:** (443) 540-8280

## Contact information

- **Practice address:** 800 W 36TH ST, BALTIMORE, MD 21211-2537
- **Practice address phone:** (240) 593-9096
- **Mailing address:** 800 W 36TH ST, BALTIMORE, MD 21211-2537
- **Mailing address phone:** (443) 540-8280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2023
- **Last updated:** 04/25/2024