MR. MICHAEL KIRK DOUGLAS


Address: 1303 Kent Avenue, Baltimore, MD 21207-4828
Phone: 4107197408

MR. MICHAEL KIRK DOUGLAS (NPI# 1437203544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437203544
Entity Type Individual
Full Name MR. MICHAEL KIRK DOUGLAS
Credential M.H.S., CAC-AD
Practice Address 1303 Kent Avenue
Baltimore
MD 21207-4828
Mailing Address 1303 Kent Ave
Baltimore
MD 21207-4828
Practice Telephone 4107197408
Mailing Telephone 4107197408
Enumeration Date 2007-01-23
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
AC0626 MD Behavioral Health & Social Service Providers

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1972908770 Michael Douglas Jr. Counselor 1845 Grandstand Place, Elgin, IL 60123 2014-10-23
1902169543 Michael L Douglas Urology 425 Bmh Physicians Office Bldg, Maryville, TN 37804 2012-06-19
1841572856 Michael Anthony Douglas Counselor 4760 Sepulveda Blvd, Culver City, CA 90230-4820 2011-09-15
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1073736559 Michael Adam Douglas Psychologist 11704 Wilshire Blvd, Suite 255, Los Angeles, CA 90025-1507 2007-04-11

Office Location

Street Address 1303 KENT AVENUE
City BALTIMORE
State MD
Zip Code 21207-4828

Providers in the same zip code

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1366005944 Lacey Murphy Social Worker 6201 Liberty Road, Baltimore, MD 21207 2019-04-18
1811453368 Pamela Powell Social Worker 5025 Dickey Hill Rd, Baltimore, MD 21207 2019-02-20
1568932176 Reflections Counseling & Consulting Community/Behavioral Health 6901 Brightway, Unit F, Gwynn Oak, MD 21207 2018-11-27
1255849394 Therapetic Wellness Services Community/Behavioral Health 4909 Liberty Heights Ave, Baltimore, MD 21207 2018-01-10
1922525252 Passionate Hands Transitional Housing Clinic/Center 4711 Liberty Heights Avenue, Baltimore, MD 21207 2017-08-28
1528427689 Stephen James Allen Occupational Therapy Assistant 4107 Liberty Heights Ave, Baltimore, MARYLAND 21207 2016-02-17
1255720439 Dawn James Counselor 6401 Dogwood Road, Suite 201, Gwynn Oak, MD 21207 2015-01-12
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1861091522 Choices Integrated Healthcare Counselor 1600 Bush St, Baltimore, MD 21230-2021 2020-10-22
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1144838277 Guiding Lives Counselor 6305 Belair Rd, Baltimore, MD 21206-1817 2020-07-15
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1801413422 Karena Tinika Lee Counselor 1336 Homestead St, Baltimore, MD 21218-3624 2020-06-30
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1811513625 Ebony Michelle Johnson Counselor 2808 Carver Rd, Baltimore, MD 21225-1312 2020-06-18
1992321798 Robert Murray Counselor 1703 Windemere Ave, Baltimore, MD 21218-3029 2020-06-18
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Competitor

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City BALTIMORE
Zip Code 21207

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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