Provider Demographics
NPI:1841731916
Name:HOPE AND FAITH COUNSELING & ED. SERVICES
Entity type:Organization
Organization Name:HOPE AND FAITH COUNSELING & ED. SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:410-236-6400
Mailing Address - Street 1:5906 PARK HEIGHTS AVE
Mailing Address - Street 2:SUITE 107-12
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-3631
Mailing Address - Country:US
Mailing Address - Phone:410-236-6400
Mailing Address - Fax:
Practice Address - Street 1:5906 PARK HEIGHTS AVE
Practice Address - Street 2:SUITE 107-12
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-3631
Practice Address - Country:US
Practice Address - Phone:410-236-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-09
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD146031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty