# HOLY CLINIC, LLC

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

## Provider details

- **NPI number:** 1578429635
- **Authorized official:** DORIS C. DICKSON FNP (CRNP/CEO)
- **Authorized official phone:** (443) 559-7259

## Contact information

- **Practice address:** 6018 HARFORD RD, BALTIMORE, MD 21214-1327
- **Practice address phone:** (443) 559-7259
- **Practice address fax:** (410) 401-8110
- **Mailing address:** 6018 HARFORD RD, BALTIMORE, MD 21214-1327
- **Mailing address phone:** (443) 559-7259
- **Mailing address fax:** (410) 401-8110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/01/2026
- **Last updated:** 01/19/2026