Organization Active NPI

Our Wings of Hope LLC

  • Adult Mental Health Clinic/Center
  • Owings Mills, MD
National Provider Identifier
1205476066
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
OUR WINGS OF HOPE LLC
Practice address
66 Painters Mill Rd Ste 204
Owings Mills, MD 21117-3657
Phone
(443) 380-3839
Fax
(888) 811-8377
NPI assigned
Jan 9, 2020
Last updated
Jan 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Mrs. Michelle R Davey, LCSW-CNPI 1487931606
Title
Clincial Social Worker
Phone
(301) 741-7596

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

66 Painters Mill Rd Ste 204
Owings Mills, MD 21117-3657

Mailing address

3812 Arbutus Ave
Gwynn Oak, MD 21207-6354
Phone (301) 741-7596

Other names 1

  • Our Wings of Hope Other name

National Provider Directory

National Provider Directory

Locations

66 Painters Mill Rd
Ste 204
Owings Mills, MD 21117
Phone (443) 380-3839

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1205476066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 ARBUTUS AVE",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212076354",
            "telephone_number": "301-741-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PAINTERS MILL RD STE 204",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173657",
            "telephone_number": "443-380-3839",
            "fax_number": "888-811-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR WINGS OF HOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "DAVEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINCIAL SOCIAL WORKER",
        "authorized_official_telephone_number": "301-741-7596",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Wings of Hope",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.