Provider Demographics
NPI:1114620911
Name:HEALING STORIES BEHAVIORAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:HEALING STORIES BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VALENTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OFUOKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-695-8146
Mailing Address - Street 1:6100 BALTIMORE NATIONAL PIKE STE B-01, B-02,B-03
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-2911
Mailing Address - Country:US
Mailing Address - Phone:443-695-8146
Mailing Address - Fax:
Practice Address - Street 1:6100 BALTIMORE NATIONAL PIKE
Practice Address - Street 2:SUITE B-01,B-02,B-03
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-2911
Practice Address - Country:US
Practice Address - Phone:717-480-3573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health