180 DEGREE CHANGE BEHAVIORAL HEALTH LLC
NPI 1336805613
Community/Behavioral Health in Baltimore, MD

Active since November 11, 2021
1420 JOH AVE STE D, BALTIMORE, MD 21227(443) 435-0030 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About 180 Degree Change Behavioral Health Llc NPPES

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

180 DEGREE CHANGE BEHAVIORAL HEALTH LLC (NPI 1336805613) is a healthcare organization registered as a community/behavioral health in Baltimore, Maryland and active in the NPI registry since November 2021. The organization lists Latisha Flanigan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336805613
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business Name180 DEGREE CHANGE BEHAVIORAL HEALTH LLC
Location Address1420 JOH AVE STE DBaltimore, MD 21227-1073
Mailing Address1420 Joh Ave Ste DBaltimore, MD 21227-1073 · (443) 435-0030
Organization SubpartNo
Authorized OfficialLatisha FlaniganCeo · (443) 435-0030
Enumeration DateNovember 11, 2021
NPPES CertifiedNovember 11, 2021
NPI 1336805613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1420 JOH AVE STE D, Baltimore, MD 21227

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Community/Behavioral Health
1420 JOH AVE STE D
BALTIMORE, MD 21227
Community/Behavioral Health
1420 JOH AVE STE D
BALTIMORE, MD 21227
Community/Behavioral Health
1420 JOH AVE STE D
BALTIMORE, MD 21227
Nurse Practitioner (Psychiatric/Mental Health)
1420 JOH AVE STE D
HALETHORPE, MD 21227
Nurse Practitioner (Psychiatric/Mental Health)
1420 JOH AVE STE D
HALETHORPE, MD 21227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336805613, enumerated as an "organization" on November 11, 2021.

The provider is located at 1420 JOH AVE STE D BALTIMORE, MD 21227 and the phone number is (443) 435-0030.

Community/Behavioral Health with taxonomy code 251S00000X.