Organization · Type 2 NPI
Dad Kingdom Enterprise
Mental Health Counselor · Baltimore, MD
NPI number
1104782390
Active
Practice location
825 Cator Ave
Baltimore, MD 21218-1227
Mailing address
6340 Security Blvd
Baltimore, MD 21207-5173
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Pastoral Counselor | 101YP1600X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1104782390
Dad Kingdom Enterprise's National Provider Identifier is 1104782390, issued on Dec 31, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baltimore, MD. The record was last updated on Dec 31, 2025.