Organization Active NPI

Linnea Lavonne, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1366018863
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LINNEA LAVONNE, LLC
Practice address
2640 Hampden Ave
Baltimore, MD 21211-3106
Phone
(443) 963-9612
NPI assigned
Jun 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Linnea Braaten, LCPC
Title
Licensed Professional Counselor
Phone
(443) 963-9612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2640 Hampden Ave
Baltimore, MD 21211-3106

Mailing address

2640 Hampden Ave
Baltimore, MD 21211-3106
Phone (443) 963-9612

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1366018863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 HAMPDEN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212113106",
            "telephone_number": "443-963-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 HAMPDEN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212113106",
            "telephone_number": "443-963-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINNEA LAVONNE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "BRAATEN",
        "authorized_official_first_name": "LINNEA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "443-963-9612",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.