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Organization

THROUGH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VENESA JOHNSON DAY MPA, CPCO (CO-OWNER/COMPLIANCE OFFICER)
(804) 252-7832
Entity
Organization

Contact information

Practice address
3608 HAMILTON AVE, BALTIMORE, MD 21214-2725
(804) 252-7832
(804) 252-7832
Mailing address
3608 HAMILTON AVE, BALTIMORE, MD 21214-2725
(804) 252-7832
(804) 252-7832

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
163W00000X
Registered Nurse
172V00000X
Community Health Worker
174H00000X
Health Educator
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
06/05/2026
Last updated
06/07/2026
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