Pha Healthcare LLC
Clinic/Center (Adult Mental Health)

Address: 2702 Oakley Ave, Baltimore, MD 21215-5311
Phone: 7176549007

Pha Healthcare LLC (NPI# 1982224945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1982224945
Entity Type Organization
Organization Name PHA HEALTHCARE LLC
Practice Address 2702 Oakley Ave
MD 21215-5311
Practice Telephone 7176549007
Mailing Address 1689 Westgate Dr Apt 101
PA 17408-6311
Mailing Telephone 7176549007
Authorized Official Name Stephen Wesley Thomas (DIRECTOR)
Authorized Official Telephone 7176549007
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-04-20
Last Update Date 2020-04-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 101YA0400X Counselor · Addiction (Substance Use Disorder) Behavioral Health & Social Service Providers
Yes 261QM0850X Clinic/Center · Adult Mental Health Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Office Location

Street Address 2702 OAKLEY AVE
State MD
Zip Code 21215-5311

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639736796 Talal Abalkhail Student in an Organized Health Care Education/Training Program 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 2019-05-23
1235795410 Bilal Khan Student in an Organized Health Care Education/Training Program 2041 West Belvedere Avenue, Balitmore, MD 21215 2019-05-14
1669036067 Nasir M Alhamdan Student in an Organized Health Care Education/Training Program Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 2019-05-01
1851863971 Brittany Michelle O'neill Specialist/Technologist Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 2018-12-31
1881164432 Emily Gamma Social Worker 4810 Seton Drive, Baltimore, MD 21215 2018-11-27
1518440478 Benson Baby Physical Therapist 2525west Belveder Ave, Baltimore, MD 21215 2018-09-07
1609360817 Bonnie Kahler Clinical Nurse Specialist 2401 Belvedere Avenue, Baltimore, MD 21215 2018-06-20
1184113078 Mary Jo Kozel Registered Nurse 2401 West Belvedere, Baltimore, MD 21215 2018-05-07
1033620398 Samson Olanrewaju Arigbamu Nurse Practitioner 4800 Seton Drive, Baltimore, Baltimore, MD 21215 2017-10-13
1972027662 Walgreen Co Durable Medical Equipment & Medical Supplies 2401 Liberty Heights Ave Ste 2065, Baltimore, MD 21215 2017-08-03
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Zip Code 21215

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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