Organization
SUPPORT BY DESIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUANDA JOHNSON (CLINICAL DIRECTOR)
(516) 306-5117
Entity
Organization
Contact information
Practice address
3013 MONTEBELLO TER, BALTIMORE, MD 21214-3311
(443) 927-7856
Mailing address
3013 MONTEBELLO TER, BALTIMORE, MD 21214-3311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/08/2020
Last updated
09/06/2023
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