Organization
MIND-4-CONCEPTS OUTPATIENT MENTAL HEALTH LLC
Active
Organization
MIND-4-CONCEPTS OUTPATIENT MENTAL HEALTH LLC
Active
Other names
Mind4Concepts Outpatient Mental Health, LLC, Mind4Concepts Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE GILLIAM (CEO)
(410) 801-8828
Entity
Organization
Contact information
Practice address
1800 N CHARLES ST STE 508, BALTIMORE, MD 21201-5920
(410) 801-8828
(443) 817-0863
Mailing address
1800 N CHARLES ST STE 508, BALTIMORE, MD 21201-5920
(410) 801-8828
(443) 817-0863
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228086800
—
MD
Enumeration date
10/20/2023
Last updated
08/26/2026
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