Organization
HEALTHY MINDS RESOURCE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFINIE CARROLL (EXECUTIVE DIRECTOR)
(410) 363-3713
Entity
Organization
Contact information
Practice address
1800 N CHARLES ST, STE 804, BALTIMORE, MD 21201-5920
(410) 363-3713
Mailing address
500 REDLAND CT, STE 213, OWINGS MILLS, MD 21117-3264
(410) 625-5088
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
404629300
MD
101YP2500X
Professional Counselor
ATC110
MD
101YP2500X
Professional Counselor
LC3003
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404629300
—
MD
Enumeration date
06/04/2015
Last updated
11/19/2015
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