Urban Trauma Counseling Center, LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Baltimore, MD
NPI 1144913625 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1144913625
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- URBAN TRAUMA COUNSELING CENTER, LLC
- Practice address
- 2103 Mount Holly St
Baltimore, MD 21216-2430 - Phone
- (410) 844-0770
- NPI assigned
- May 31, 2023
- Organization subpart
- No
Authorized official
- Name
- Shinelle Oglesby, LCPC
- Title
- Ceo/Clinical Director
- Phone
- (410) 844-0770
Corporate family (same tax ID) 7
Practitioners 1
-
Shinelle Oglesby, LCPC
National Provider Directory
- Tax ID family
- Urban Trauma Counseling Center LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
2103 Mount Holly St
Baltimore, MD 21216-2430
Mailing address
3709 Essex Rd
Pikesville, MD 21207-4617
Phone (410) 960-2496
Other practice location 1
818 N Montford Ave
Baltimore, MD 21205-1620
Phone (410) 844-0770
Other providers in Baltimore, MD
- Urban Family Practice PC
- Urban Medical Institute
- Urban Oasis Behavioral Health Services
- Urban Oasis Behavioral Health Services
- Urban Trauma Counseling Center, LLC
- Urban Trauma Counseling Center, LLC
- Urban Vitality Solutions
- Urbanminds Counseling and Support Services
- Erin Catherine Urbanski
- Jonathan Urbina
All providers in Baltimore, MD · Substance Abuse Rehabilitation Facility in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.