HEALING ROOTS COUNSELINGG NPI 1114469319

NPI Information

NPI: 1114469319
Provider Name: HEALING ROOTS COUNSELINGG
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
101 S MAIN ST
SUITE 307
BEL AIR, MD
ZIP 21014
Phone: (410) 245-4547
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HEALING ROOTS COUNSELINGG is a mental health counselor in Bel Air, MD. HEALING ROOTS COUNSELINGG NPI is 1114469319. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

101 S MAIN ST
SUITE 307
BEL AIR, MD
ZIP 21014-840
Phone: (410) 245-4547

The provider's authorized official is Paul B Sheesley .
The authorized official title is Psychotherapist and has the following contact phone number (410) 245-4547.

The enumeration date for this NPI number is 11/6/2016 and was last updated on 11/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCA2135	MARYLAND	No
2	101YM0800X	Counselor	Mental Health	LC5267	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3660150	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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