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Lola's Village, Llc
Adolescent and Children Mental Health Clinic/Center in Baltimore, Maryland
NPI 1437789492

Lola's Village, Llc is an Adolescent and Children Mental Health Clinic/Center based in Baltimore, MD and is specialized in Adolescent and Children Mental Health. Lola's Village, Llc practices in Baltimore, MD. The NPI Number for Lola's Village, Llc is 1437789492 and holds a License No. (Maryland).

The current practice location address for Lola's Village, Llc is 4502 Schenley Rd, Baltimore, MD and can be reached out via phone at 443-961-6633.

Location: 4502 Schenley Rd, Baltimore, MD, 21210-2524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437789492
Provider Name
Lola's Village, Llc
Credential
Provider Entity Type
Organization
Address
4502 Schenley Rd, Baltimore, MD, 21210-2524
Phone Number
443-961-6633
Fax Number
Provider Enumeration Date
01/17/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4502 Schenley Rd
City
Baltimore
State
Maryland
Zip
21210-2524
Phone Number
443-961-6633
Fax Number
person
Provider Business Mailing Address Details
Address
4502 Schenley Rd
City
Baltimore
State
Maryland
Zip
21210-2524
Phone Number
443-961-6633
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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