# EASTERN AVENUE HEALTH SOLUTIONS, INC

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

## Provider details

- **NPI number:** 1780139998
- **Authorized official:** MRS. JEANINE MARIE GINI LCPC (ADMINISTRATOR)
- **Authorized official phone:** (443) 600-3054

## Contact information

- **Practice address:** 5920 EASTERN AVENUE, SUITE C, BALTIMORE, MD 21224
- **Practice address phone:** (410) 631-2772
- **Practice address fax:** (866) 846-7468
- **Mailing address:** 600 REISTERSTOWN RD, SUITE 600C, PIKESVILLE, MD 21208
- **Mailing address fax:** (866) 530-9250

## Taxonomy

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

## Other

- **Enumeration date:** 08/17/2016
- **Last updated:** 08/17/2016