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VILLA MARIA AT LIGHT STREET
NPI 1285890095
Clinic/Center - Mental Health (Including Community Mental Health Center) in Baltimore, MD

Active since July 31, 2008
1118 LIGHT ST STE 200, BALTIMORE, MD 21230(667) 600-2880 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Villa Maria At Light Street NPPES

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

VILLA MARIA AT LIGHT STREET (NPI 1285890095) is a healthcare organization registered as a mental health (including community mental health center) in Baltimore, Maryland and active in the NPI registry since July 2008. The organization lists Gloria Reeves, A/r And Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1285890095
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameASSOCIATED CATHOLIC CHARITIES
Location Address1118 LIGHT ST STE 200Baltimore, MD 21230-4152
Mailing Address2300 Dulaney Valley RdTimonium, MD 21093-2739 · (667) 600-2249 · Fax (667) 600-4068
Phone(667) 600-2880
Organization SubpartNo
Authorized OfficialGloria ReevesA/r And Billing Manager · (667) 600-2249
Enumeration DateJuly 31, 2008
Last NPPES UpdateJanuary 3, 2020
✔ NPI 1285890095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1118 LIGHT ST STE 200, Baltimore, MD 21230
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Other Names 2

Doing Business AsVilla Maria At Light Street
Doing Business AsVilla Maria At Light Street Prp

Other Identifiers 1

Medicaid153800406MD

Other Providers at the Same Location NPPES 8

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

MRS. JAVON BLUE LCPC
Counselor (Professional)
1118 LIGHT ST STE 200
BALTIMORE, MD 21230
Baltimore City (667) 600-2872
GINNA THERESE WAGNER LCSW-C
Social Worker (Clinical)
1118 LIGHT ST STE 200
BALTIMORE, MD 21230
Baltimore City (667) 600-2870
ANDREW KNIGHT
Counselor (Professional)
1118 LIGHT ST STE 200
BALTIMORE, MD 21230
Baltimore City (667) 600-2892
KEVIN LAMBERT LMSW
Social Worker
1118 LIGHT ST STE 200
BALTIMORE, MD 21230
Baltimore City (667) 600-2880
TRACEY WHITE
Social Worker
1118 LIGHT ST STE 200
BALTIMORE, MD 21230
Baltimore City (667) 600-2879
JENNIFER KOLZE
Social Worker
1118 LIGHT ST STE 200
BALTIMORE, MD 21230
Baltimore City (667) 600-2880
ASSOCIATED CATHOLIC CHARITIES
Clinic/Center (Mental Health (Including Community Mental Health Center))
1118 LIGHT ST STE 200
BALTIMORE, MD 21230
Baltimore City (667) 600-2880
ASSOCIATED CATHOLIC CHARITIES, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
1118 LIGHT ST STE 200
BALTIMORE, MD 21230
Baltimore City (667) 600-2880

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 Associated Catholic Charities's NPI number?

The NPI number for Associated Catholic Charities is 1285890095. It was assigned to this organization in the NPPES registry on July 31, 2008. The provider is doing business as Villa Maria At Light Street and Villa Maria at Light Street PRP.

Where is Associated Catholic Charities located?

Associated Catholic Charities is located at 1118 Light St Ste 200, Baltimore, MD 21230. The listed phone number is (667) 600-2880.

What is Associated Catholic Charities's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Associated Catholic Charities was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.