Organization
EVISION MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALITA SMITH (OWNER)
(443) 739-2084
Entity
Organization
Contact information
Practice address
1515 MARTIN BLVD STE 102, BALTIMORE, MD 21220-4103
(443) 739-2084
Mailing address
4806 MANTLEWOOD WAY APT 102, ABERDEEN, MD 21001-3646
(443) 739-2084
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
10/06/2023
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