# PROSPERITY TREE INTERNATIONAL HEALTHCARE SERVICES

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

## Provider details

- **NPI number:** 1902651037
- **Authorized official:** MR. DUWAYNE SMITH NP (OWNER)
- **Authorized official phone:** (443) 204-5641

## Contact information

- **Practice address:** 1440 N BOND ST, BALTIMORE, MD 21213-2903
- **Practice address phone:** (443) 204-5641
- **Mailing address:** 1440 N BOND ST, BALTIMORE, MD 21213-2903
- **Mailing address phone:** (443) 204-5641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2024
- **Last updated:** 04/22/2024