Provider Demographics
NPI:1508568163
Name:WORTHY MINDS AND HEARTS, LLC
Entity Type:Organization
Organization Name:WORTHY MINDS AND HEARTS, LLC
Other - Org Name:WORTHY MINDS AND HEARTS PRP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:CHANEL
Authorized Official - Last Name:BOWSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-722-6838
Mailing Address - Street 1:5719 NASCO PL
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-3031
Mailing Address - Country:US
Mailing Address - Phone:667-391-6726
Mailing Address - Fax:
Practice Address - Street 1:10 W EAGER ST STE 400
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-5471
Practice Address - Country:US
Practice Address - Phone:667-391-6726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health