Providing Empowerment Advocacy & Social Skills

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PROVIDING EMPOWERMENT ADVOCACY & SOCIAL SKILLS

Practice address

2361 Flax Ter
Baltimore, MD 21209-4625

Phone

(410) 330-2590

NPI assigned

Apr 27, 2020

Organization subpart

No

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

Authorized official

Name

Damian Jones

Title

Owner

Phone

(410) 330-2590

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• P.E.A.S.S. Other name

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1922629344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 FLAX TER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094625",
            "telephone_number": "410-330-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 FLAX TER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094625",
            "telephone_number": "410-330-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDING EMPOWERMENT ADVOCACY & SOCIAL SKILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-330-2590"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOINT COMMISSION ID",
            "identifier": "652442",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P.E.A.S.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Protocol, LLC
• Natasha J Provancher, LMFT
• Juliana Elizabeth Provenzale
• Providence Adult Day Care Center, Inc.
• Providence Community PRP Inc
• Providing Empowerment and Survival Skills
• Laura Jean Provost
• Ashley Prowell, PHD, LCSW
• Tanya Michelle Prowell, M.D.
• Steven Paul Pruce, D.D.D.

• Community/Behavioral Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.