Healthcare Provider Details

I. General information

NPI: 1659281913
Provider Name (Legal Business Name): ANDAMENTO COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 PARK HEIGHTS AVE APT M6
BALTIMORE MD
21215-1602
US

IV. Provider business mailing address

6340 SECURITY BLVD STE 100
BALTIMORE MD
21207-5284
US

V. Phone/Fax

Practice location:
  • Phone: 443-522-5992
  • Fax:
Mailing address:
  • Phone: 667-351-4398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. SHAWNTEL FITZGERALD
Title or Position: OWNER
Credential: LCPC
Phone: 443-522-5992