DR. LARENEQUE BARTHOLOMEW


Address: 110 East Lexington Street, Suite 200, Baltimore, MD 21202
Phone: 4108085770

DR. LARENEQUE BARTHOLOMEW (NPI# 1750946224) 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) 1750946224
Entity Type Individual
Full Name DR. LARENEQUE BARTHOLOMEW
Credential PHD
Practice Address 110 East Lexington Street, Suite 200
Baltimore
MD 21202
Mailing Address 110 E. Lexington Street, Suite 200
Baltimore
MD 21202
Practice Telephone 4108085770
Mailing Telephone 4108085770
Mailing Fax Number 4104837359
Enumeration Date 2019-05-09
Last Update Date 2019-05-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LC9516 MD Behavioral Health & Social Service Providers

Office Location

Street Address 110 EAST LEXINGTON STREET, SUITE 200
City BALTIMORE
State MD
Zip Code 21202

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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...

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Competitor

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City BALTIMORE
Zip Code 21202

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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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