Eden Place Healing, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EDEN PLACE HEALING, LLC

Practice address

3911 Fairview Ave
Baltimore, MD 21216-1229

Phone

(443) 674-6343

NPI assigned

Aug 20, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lovely Moulton, LCPC, LCADC

Title

Executive Director

Phone

(443) 674-6343

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yvette Moulton, LCPC

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1417218975
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1063399012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2602",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212150003",
            "telephone_number": "443-674-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 FAIRVIEW AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212161229",
            "telephone_number": "443-674-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN PLACE HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "LOVELY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-674-6343",
        "authorized_official_credential": "LCPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malcolm Xzzavier Edelin
• Bennett B Edelman, M.D.
• Robert Edelman, M.D.
• Shaindel Edelman, LCPC, LCPAT
• Matthew Edelstein, PSY.D
• Elizabeth Eden, MD
• Zara Meriata Eden, PT ASSISTANT
• Edenpath ABA Maryland LLC
• Jacquelyn Curreri Edens, RN
• Lewis Charles Eder IV, CRNA

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.