Provider Demographics
NPI:1164233086
Name:TOTAL PSYCH CARES
Entity type:Organization
Organization Name:TOTAL PSYCH CARES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BEVERLI
Authorized Official - Middle Name:
Authorized Official - Last Name:MORMILE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:410-429-7111
Mailing Address - Street 1:10 SOUTH ST STE 303
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3288
Mailing Address - Country:US
Mailing Address - Phone:410-429-7111
Mailing Address - Fax:
Practice Address - Street 1:10 SOUTH ST STE 303
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3288
Practice Address - Country:US
Practice Address - Phone:410-429-7111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0536814Medicaid
MD1801152954OtherPROVIDER NPI