TOLLER ENTERPRISES LLC
NPI 1194614651
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

Active since June 30, 2025

8720 EMGE RD, BALTIMORE, MD 21234(410) 668-1961(410) 882-3114 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Toller Enterprises Llc NPPES

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

TOLLER ENTERPRISES LLC (NPI 1194614651) is a healthcare organization registered as a psychiatric/mental health in Baltimore, Maryland and active in the NPI registry since June 2025. The organization lists Walter Lewis Toller, Owner, as its authorized official.

NPPES Registry Identity

NPI1194614651

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameTOLLER ENTERPRISES LLC

Location Address8720 EMGE RDBaltimore, MD 21234-3504

Mailing Address2232 E Monument StBaltimore, MD 21205-2431 · (469) 208-4651

Phone(410) 668-1961

Fax(410) 882-3114

Organization SubpartNo

Authorized OfficialWalter Lewis TollerOwner · (667) 207-3552

Enumeration DateJune 30, 2025

Last NPPES UpdateJuly 1, 2025

NPPES CertifiedJuly 1, 2025

✔ NPI 1194614651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X

8720 EMGE RD, Baltimore, MD 21234

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Other Names 1

Other NameAutumn Lake Healthcare At Loch Raven

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP