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Organization

NEW DESTINY HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACY RENNA THOMAS (BILLING MANAGER)
(410) 616-9552
Entity
Organization

Contact information

Practice address
3 GREENWOOD PL STE 100, PIKESVILLE, MD 21208-2701
(410) 733-4636
(443) 842-4801
Mailing address
3 GREENWOOD PL STE 100, PIKESVILLE, MD 21208-2701
(410) 733-4636
(443) 842-4801

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
12/22/2022
Last updated
02/05/2026
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