| One Promise Counseling And Education | |
|
6211 Belair Rd Baltimore MD 21206-1942 | |
| (443) 835-2681 | |
| (410) 624-5114 |
| Full Name | One Promise Counseling And Education |
|---|---|
| Speciality | Clinic/Center |
| Location | 6211 Belair Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Craig Howard Lippens (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4103820528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Promise Counseling And Education 6211 Belair Rd Baltimore MD 21206-1942 Ph: (443) 835-2681 | One Promise Counseling And Education 6211 Belair Rd Baltimore MD 21206-1942 Ph: (443) 835-2681 |
| NPI Number | 1295371078 |
|---|---|
| Provider Enumeration Date | 11/27/2019 |
| Last Update Date | 11/19/2024 |
| Certification Date | 11/19/2024 |
| Medicare PECOS PAC ID | 6002344173 |
|---|---|
| Medicare Enrollment ID | O20250116004057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295371078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Patrick Eugene Connealy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891853834 PECOS PAC ID: 4880047497 Enrollment ID: I20250116004062 |
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