Healthcare Provider Details

I. General information

NPI: 1023335825
Provider Name (Legal Business Name): HARDING CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2010
Last Update Date: 05/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 E 33RD ST
BALTIMORE MD
21218-3403
US

IV. Provider business mailing address

415 E 33RD ST
BALTIMORE MD
21218-3403
US

V. Phone/Fax

Practice location:
  • Phone: 410-467-2070
  • Fax: 443-276-5555
Mailing address:
  • Phone: 410-467-2070
  • Fax: 443-276-5555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1577
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number04369
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberD0032496
License Number StateMD

VIII. Authorized Official

Name: DR. RENEE HARDING
Title or Position: DIRECTOR, CEO
Credential: PSY.D., MBA
Phone: 410-467-2070