NLW Youth Development Program

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NLW YOUTH DEVELOPMENT PROGRAM

Practice address

2504 Saint Paul St Ste 1
Baltimore, MD 21218-4606

Phone

(443) 360-8936

NPI assigned

Jan 14, 2026

Organization subpart

No

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

Authorized official

Name

Nickel Latanya Walston

Title

Owner

Phone

(443) 303-6615

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1639037070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 SAINT PAUL ST STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184606",
            "telephone_number": "443-360-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 SAINT PAUL ST STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184606",
            "telephone_number": "443-360-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NLW YOUTH DEVELOPMENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "WALSTON",
        "authorized_official_first_name": "NICKEL",
        "authorized_official_middle_name": "LATANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-303-6615"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priante Nkunda
• Abigail Nkurukoh
• Keith Ebot Nkwanyuo
• Nzeme A Nkwelle
• Stella Ngozi Nkwocha, CRNP, FNP, PMHNP
• Nwakaego Nmezi, PH.D.
• Obijulu Nnadike
• May N Nnakaenyi
• Ijeoma Nnake, PA-C
• Augustine Nnakwe

• 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 Jan 14, 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.