Provider Demographics
NPI:1972878874
Name:SOLUTIONS FOR MINDFULNESS, PA
Entity type:Organization
Organization Name:SOLUTIONS FOR MINDFULNESS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ERSKINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-428-0552
Mailing Address - Street 1:PO BOX 62670
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-2670
Mailing Address - Country:US
Mailing Address - Phone:410-982-6506
Mailing Address - Fax:717-428-0518
Practice Address - Street 1:10801 HICKORY RIDGE RD
Practice Address - Street 2:SUITE 210
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3869
Practice Address - Country:US
Practice Address - Phone:410-982-6506
Practice Address - Fax:717-428-0518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-12
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD118141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty