Provider Demographics
NPI:1609414101
Name:BELIEVING N DAILY JOURNEYS LLC
Entity Type:Organization
Organization Name:BELIEVING N DAILY JOURNEYS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EATHELL
Authorized Official - Middle Name:BERNICE
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-414-9699
Mailing Address - Street 1:3812 SANDY HOOK RD
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-2200
Mailing Address - Country:US
Mailing Address - Phone:443-414-9699
Mailing Address - Fax:800-450-1174
Practice Address - Street 1:9331 LIBERTY RD STE 2C
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-3525
Practice Address - Country:US
Practice Address - Phone:443-414-9699
Practice Address - Fax:800-450-1134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-16
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD00000000000Medicaid