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Organization
BALTIMORE ART THERAPY AND COUNSELING
Active
Organization
BALTIMORE ART THERAPY AND COUNSELING
Active
Other names
Bright Sparrow Healing Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DARA GERVAIS GERVAIS LCPC (OWNER/DIRECTOR)
(443) 304-7137
Entity
Organization
Contact information
Practice address
2409 LAKE AVE, BALTIMORE, MD 21213-1034
(443) 304-7137
Mailing address
8 THE GRN STE 8661, DOVER, DE 19901-3618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
221700000X
Art Therapist
—
NULL
221700000X
Art Therapist
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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