Breathe Holistic Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BREATHE HOLISTIC COUNSELING

Practice address

2818 Evergreen Ave
Baltimore, MD 21214-1735

Phone

(443) 413-6830

NPI assigned

Mar 8, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Dorothy Estella Adamson Holley, PHD, LCSW-CNPI 1285791335

Title

President/Psychotherapist

Phone

(443) 413-6830

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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

• Dorothy Estella Adamson Holley, PH.D., LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1285791335
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1649738501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 EVERGREEN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141735",
            "telephone_number": "443-413-6830",
            "fax_number": "410-444-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 EVERGREEN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141735",
            "telephone_number": "443-413-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE HOLISTIC COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "ADAMSON HOLLEY",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "ESTELLA",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "443-413-6830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.