Provider Demographics
NPI:1295371078
Name:ONE PROMISE COUNSELING AND EDUCATION
Entity type:Organization
Organization Name:ONE PROMISE COUNSELING AND EDUCATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:LIPPENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-382-0528
Mailing Address - Street 1:6211 BELAIR RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-1942
Mailing Address - Country:US
Mailing Address - Phone:443-835-2681
Mailing Address - Fax:410-624-5114
Practice Address - Street 1:6211 BELAIR RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-1942
Practice Address - Country:US
Practice Address - Phone:443-835-2681
Practice Address - Fax:410-624-5114
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONE PROMISE COUNSELING AND EDUCATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-27
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty