Provider Demographics
NPI:1184251969
Name:ONE HEALING EDUCATION AND RENEWING THROUGH THERAPY
Entity type:Organization
Organization Name:ONE HEALING EDUCATION AND RENEWING THROUGH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NAKIETA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANKSTER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:334-341-4011
Mailing Address - Street 1:527 N STREEPER ST.
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21205-0000
Mailing Address - Country:US
Mailing Address - Phone:334-341-4011
Mailing Address - Fax:443-914-2007
Practice Address - Street 1:210 E LEXINGTON ST. SUITE 400
Practice Address - Street 2:SUITE 400
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-0000
Practice Address - Country:US
Practice Address - Phone:334-341-4011
Practice Address - Fax:443-914-4011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No251V00000XAgenciesVoluntary or Charitable
No364SP0812XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, CommunityGroup - Multi-Specialty