MS. PHYLLIS ANNETTE HAM L.C.P.C.
NPI 1639443351
Counselor - Professional in Baltimore, MD
Active since February 27, 2012
About Ms. Phyllis Annette Ham L.c.p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. PHYLLIS ANNETTE HAM L.C.P.C. (NPI 1639443351) is an individual professional provider in Baltimore, Maryland, licensed in Maryland (LC1640) and active in the NPI registry since February 2012.
NPPES Registry Identity
NPI1639443351
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. PHYLLIS ANNETTE HAMCredential: L.C.P.C.
Location Address4101 OLD YORK RDBaltimore, MD 21218-1237
Mailing Address949 Gorsuch AveBaltimore, MD 21218-3602 · (410) 467-4121
Phone(410) 433-1458
Sole ProprietorNo
Enumeration DateFebruary 27, 2012
✔ NPI 1639443351 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC1640
4101 OLD YORK RD, Baltimore, MD 21218
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community Based Residential Treatment Facility, Mental Illness
4101 OLD YORK RD
BALTIMORE, MD 21218
BALTIMORE, MD 21218
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639443351, enumerated as an "individual" on February 27, 2012.
The provider is located at 4101 OLD YORK RD BALTIMORE, MD 21218 and the phone number is (410) 433-1458.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
