MIND OVER MATTER HEALTH SERVICES, INC.


Address: 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228
Phone: 4434051095

MIND OVER MATTER HEALTH SERVICES, INC. (NPI# 1932627239) 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) 1932627239
Entity Type Organization
Organization Name MIND OVER MATTER HEALTH SERVICES, INC.
Practice Address 616 Old Edmondson Ave. Ste. 4
Baltimore
MD 21228
Practice Telephone 4434051095
Mailing Telephone 4434051095
Enumeration Date 2017-09-07
Last Update Date 2017-09-18
Authorized Official Name ASIA MARIA JOHNSON (CEO)
Authorized Official Telephone 4434051095
Authorized Official Credential LCPC,LCAD-AS,MAC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health MD2133 MD Agencies

Office Location

Street Address 616 OLD EDMONDSON AVE. STE. 4
City BALTIMORE
State MD
Zip Code 21228

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558889857 Mind Over Matter Health Services, Inc Physical Therapist 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 2017-09-07

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1982211322 Brenda Bivens Wilson Community/Behavioral Health 1726 Bolton St, Baltimore, MD 21217-4904 2020-09-29
1366056855 The Wel Foundation, LLC. Community/Behavioral Health 5858 Belair Rd, Baltimore, MD 21206-2661 2020-09-02
1679185177 Center for Youth and Families Inc Community/Behavioral Health 6304 Elinore Ave, Baltimore, MD 21206-1721 2020-08-18
1457977100 Apex Wellness Group, LLC Community/Behavioral Health 118 E 25th St Unit 2, Baltimore, MD 21218-5281 2020-06-18
1922622737 Johns Hopkins Bayview Medical Center, Inc. Community/Behavioral Health 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 2020-06-08
1669093829 Upcoming Enterprize Corporation Community/Behavioral Health 6615 Reisterstown Rd Ste Ll2, Baltimore, MD 21215-2686 2020-04-29
1922629344 Providing Empowerment Advocacy & Social Skills Community/Behavioral Health 2361 Flax Ter, Baltimore, MD 21209-4625 2020-04-27
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Competitor

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City BALTIMORE
Zip Code 21228

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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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