# A.O. HOLISTIC SUPPORT LLC.

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

## Provider details

- **NPI number:** 1689427320
- **Authorized official:** MS. KIA BAKER LCSW-C (THERAPIST)
- **Authorized official phone:** (443) 436-2643

## Contact information

- **Practice address:** 3805 N ROGERS AVE, BALTIMORE, MD 21207-7023
- **Practice address phone:** (443) 436-2643
- **Mailing address:** 3805 N ROGERS AVE, BALTIMORE, MD 21207-7023
- **Mailing address phone:** (443) 436-2643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 04/11/2024
- **Last updated:** 04/11/2024