Organization
PROSPERITY TREE INTERNATIONAL HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUWAYNE SMITH NP (OWNER)
(443) 204-5641
Entity
Organization
Contact information
Practice address
1440 N BOND ST, BALTIMORE, MD 21213-2903
(443) 204-5641
Mailing address
1440 N BOND ST, BALTIMORE, MD 21213-2903
(443) 204-5641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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