# BALTIMORE ART THERAPY AND COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bright Sparrow Healing Arts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902654338
- **Authorized official:** DARA GERVAIS GERVAIS LCPC (OWNER/DIRECTOR)
- **Authorized official phone:** (443) 304-7137

## Contact information

- **Practice address:** 2409 LAKE AVE, BALTIMORE, MD 21213-1034
- **Practice address phone:** (443) 304-7137
- **Mailing address:** 8 THE GRN STE 8661, DOVER, DE 19901-3618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 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