EBONY RENEE HICKS


Address: 3723 Elmora Avenue, Baltimore, MD 21213
Phone: 4104912135

EBONY RENEE HICKS (NPI# 1477953164) 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) 1477953164
Entity Type Individual
Full Name EBONY RENEE HICKS
Credential LCPC
Practice Address 3723 Elmora Avenue
Baltimore
MD 21213
Practice Telephone 4104912135
Mailing Telephone 4104912135
Enumeration Date 2014-08-29
Last Update Date 2014-08-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LC4407 MD Behavioral Health & Social Service Providers

Other Providers EBONY HICKS

NPI Name Taxonomy Address Enumeration
1063983781 Ebony Hicks Social Worker 1200 N West Ave Ste 300, Jackson, MI 49202-2180 2018-12-06
1043695075 Ebony A Hicks Counselor 22790 Sw 112th Ave, Miami, FL 33170-7602 2015-07-20

Office Location

Street Address 3723 ELMORA AVENUE
City BALTIMORE
State MD
Zip Code 21213

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1093170862 Renewed Minds Therapeutic Services LLC Clinic/Center 1515 E Biddle Street, Baltimore, MD 21213 2015-12-22
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1578179396 Jomar Nicholas Mcfarlane Counselor 141 N Patterson Park Ave, Baltimore, MD 21231-1659 2020-09-17
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1912524323 Lydia Hubbard Counselor 1800 N Charles St Ste 1600, Baltimore, MD 21201-5920 2020-07-01
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Competitor

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City BALTIMORE
Zip Code 21213

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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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