WIN TEAM, LLC (NPI# 1912553785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912553785 |
| Entity Type | Organization |
| Organization Name | WIN TEAM, LLC |
| Practice Address |
4640 Edmondson Ave Baltimore MD 21229-1407 |
| Mailing Address |
2502 W Northern Parkway Baltimore MD 21215 |
| Practice Telephone | 4105788003 |
| Practice Fax Number | 4105780029 |
| Mailing Telephone | 4105788003 |
| Mailing Fax Number | 4105780029 |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |
| Authorized Official Name | MR. ALFORD W LAWS JR. (CEO) |
| Authorized Official Telephone | 4105788003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| WIN Team | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1710462122 | Win Team, LLC | Clinic/Center | 7 Pleasant View Church Road, Port Deposit, MD 21904 | 2018-10-02 |
| 1629553037 | Win Team, LLC | Clinic/Center | 7 Pleasant View Chrurch Road, Port Deposit, MD 21904 | 2018-10-02 |
| 1942784905 | Win Team, LLC | Clinic/Center | 4640 Edmondson Ave Fl 2, Baltimore, MD 21229-1407 | 2018-09-17 |
| 1851874739 | Win Team, LLC | Community/Behavioral Health | 7 Pleasantview Church Rd, Port Deposit, MD 21904-1813 | 2018-09-07 |
| 1891278610 | Win Team, LLC | Community/Behavioral Health | 10001 Derekwood Ln Ste 210, Lanham, MD 20706-4865 | 2018-09-07 |
| 1467703470 | Win Team, LLC | Community/Behavioral Health | 4640 Edmondson Avenue, Suite 201, Baltimore, MD 21229 | 2012-10-01 |
| 1942519202 | Win Team, LLC | Counselor | 4640 Edmondson Ave, Baltimore, MD 21229-1407 | 2010-10-04 |
| 1558992040 | Win Team, LLC | Clinic/Center | 7 Pleasantview Church Rd, Port Deposit, MD 21904-1813 | 2020-02-03 |
| 1174008585 | Win Team, LLC | Clinic/Center | 4640 Edmondson Avenue, Baltimore, MD 21229 | 2018-10-02 |
| Street Address |
4640 EDMONDSON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942519202 | Win Team, LLC | Counselor | 4640 Edmondson Ave, Baltimore, MD 21229-1407 | 2010-10-04 |
| 1063963007 | Win Team, LLC | Community/Behavioral Health | 4640 Edmondson Ave, Baltimore, MD 21229-1407 | 2016-10-14 |
| 1316351596 | Erin J Richardson | Counselor | 4640 Edmondson Ave, Baltimore, MD 21229-1407 | 2014-06-17 |
| 1407133044 | Win Team, LLC | Case Management | 4640 Edmondson Ave, Baltimore, MD 21229-1407 | 2011-11-10 |
| 1164702098 | Lula Moultrie Heatley | Social Worker | 4640 Edmondson Ave, Baltimore, MD 21229-1407 | 2011-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1265041008 | Truecare Behavioral Health Systems, Inc | Clinic/Center | 330 E 25th St Ste 101, Baltimore, MD 21218-5359 | 2020-07-28 |
| 1578171088 | Dana Shaw LLC | Clinic/Center | 822 Guilford Ave Ste 802, Baltimore, MD 21202-3707 | 2020-07-21 |
| 1962037291 | Transformed Perspectives | Clinic/Center | 2807 Ailsa Ave, Baltimore, MD 21214-2522 | 2020-03-06 |
| 1013486620 | Tnat Holistic Wellness Center | Clinic/Center | 3221 Belair Rd, Baltimore, MD 21213-1242 | 2018-11-14 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| 1043727183 | Treasure Health Systems, Inc | Clinic/Center | 1900 E Northern Pkwy Ste 301, Baltimore, MD 21239-2111 | 2018-01-10 |
| 1891208484 | Solomon Counseling, LLC | Clinic/Center | 1501 Sulgrave Ave Ste 209, Baltimore, MD 21209-3650 | 2017-11-06 |
| 1952839474 | Ef Mental Health Services, LLC | Clinic/Center | 2107 N Charles St, 1st Floor - Right Side, Baltimore, MD 21218 | 2017-05-28 |
| 1629453261 | Julie D. Lapides, Psy. D., PC | Clinic/Center | 6115 Falls Rd Ste Llb, Baltimore, MD 21209-2450 | 2015-07-24 |
| 1972869394 | Sherman & Associates Services of Standard | Clinic/Center | 4401 Marble Hall Rd, Suite #200, Baltimore, MD 21218-1523 | 2012-04-10 |
| Find all providers in BALTIMORE | ||||
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| 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.