Organization
DIAMONDS OF THE ROUGH LLC
Active
Other names
Diamonds of the rough 360 therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNTELL HAMILTON LCPC (CEO)
(443) 554-8905
Entity
Organization
Contact information
Practice address
3030 GREENMOUNT AVE, BALTIMORE, MD 21218-4991
(443) 554-8905
(410) 480-0110
Mailing address
PO BOX 6554, COLUMBIA, MD 21045-6554
(917) 520-0621
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206933400
—
MD
Enumeration date
05/17/2022
Last updated
05/17/2022
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