Organization
ALCOHOL AND DRUG INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINDY FLEETWOOD (PRESIDENT)
(410) 787-2288
Entity
Organization
Contact information
Practice address
7458 BALTIMORE ANNAPOLIS BLVD, 2ND FLOOR, GLEN BURNIE, MD 21061-3541
(410) 787-2288
(410) 787-9479
Mailing address
7458 BALTIMORE ANNAPOLIS BLVD, GLEN BURNIE, MD 21061-3541
(410) 787-2288
(410) 787-9479
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418743100
—
MD
Enumeration date
02/16/2015
Last updated
12/08/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us