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EDEN PLACE HEALING, LLC
NPI 1063399012
Counselor - Mental Health in Baltimore, MD

Active since August 20, 2025
3911 FAIRVIEW AVE, BALTIMORE, MD 21216(443) 674-6343 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eden Place Healing, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDEN PLACE HEALING, LLC (NPI 1063399012) is a healthcare organization registered as a mental health in Baltimore, Maryland and active in the NPI registry since August 2025. The organization lists Lovely Moulton, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1063399012
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameEDEN PLACE HEALING, LLC
Location Address3911 FAIRVIEW AVEBaltimore, MD 21216-1229
Mailing AddressPo Box 2602Baltimore, MD 21215-0003 · (443) 674-6343
Phone(443) 674-6343
Organization SubpartNo
Authorized OfficialLovely MoultonExecutive Director · (443) 674-6343
Enumeration DateAugust 20, 2025
Last NPPES UpdateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1063399012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3911 FAIRVIEW AVE, Baltimore, MD 21216
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YVETTE EADDY, LCPC, LCADC
Counselor (Professional)
3911 FAIRVIEW AVE
BALTIMORE, MD 21216
Baltimore City (443) 937-3628
YVETTE MOULTON LCPC
Counselor (Mental Health)
3911 FAIRVIEW AVE
BALTIMORE, MD 21216
Baltimore City (443) 500-0258
EMMANUEL COMMUNITY COUNSELING SERVICES LLC
Counselor (Mental Health)
3911 FAIRVIEW AVE
BALTIMORE, MD 21216
Baltimore City (410) 650-8334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eden Place Healing, LLC's NPI number?

The NPI number for Eden Place Healing, LLC is 1063399012. It was assigned to this organization in the NPPES registry on August 20, 2025.

Where is Eden Place Healing, LLC located?

Eden Place Healing, LLC is located at 3911 Fairview Ave, Baltimore, MD 21216. The listed phone number is (443) 674-6343.

What is Eden Place Healing, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Eden Place Healing, LLC was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.