| Takes A Village For Change Llc | |
|
413 Eastern Blvd Essex MD 21221-6715 | |
| (410) 689-5057 | |
| Not Available |
| Full Name | Takes A Village For Change Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 413 Eastern Blvd, Essex, Maryland |
| Authorized Official Name and Position | Laura Shears Coates (OWNER) |
| Authorized Official Contact | 4106895057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Takes A Village For Change Llc 3144 Baybriar Rd Dundalk MD 21222-5403 Ph: (410) 689-5057 | Takes A Village For Change Llc 413 Eastern Blvd Essex MD 21221-6715 Ph: (410) 689-5057 |
| NPI Number | 1497532220 |
|---|---|
| Provider Enumeration Date | 09/14/2023 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Medicare PECOS PAC ID | 1850820333 |
|---|---|
| Medicare Enrollment ID | O20250129000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497532220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Susanah Oluwatoyin Kolapo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467134270 PECOS PAC ID: 6608305172 Enrollment ID: I20250129000213 |
Bright Future Community Health Care Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Eastern Blvd, Essex, MD 21221 Phone: 443-912-4612 | |
American Psychiatric Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Back River Neck Rd Ste 109, Essex, MD 21221 Phone: 410-670-3076 Fax: 443-372-5365 | |
Friends Research Institute, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 Stemmers Run Rd, Suite E, Essex, MD 21221 Phone: 410-574-2500 Fax: 410-574-4478 | |
Eva Life Giver Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1528 Country Ridge Ln, Essex, MD 21221 Phone: 443-271-8046 Fax: 410-665-0400 | |
Friends Research Institute, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 Stemmers Run Rd, Suite E, Essex, MD 21221 Phone: 410-574-2500 Fax: 410-574-4478 | |
Wisdom Health Care Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Blvd, Essex, MD 21221 Phone: 443-858-2547 | |
Safe Harbor Christian Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Essex Ave, Essex, MD 21221 Phone: 410-893-4600 Fax: 443-640-4358 |