Healthcare Provider Details

I. General information

NPI: 1205746047
Provider Name (Legal Business Name): HEALING WITH HOME COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

729 BETHNAL RD
BALTIMORE MD
21229-4502
US

IV. Provider business mailing address

1001 FREDERICK RD UNIT 3146
CATONSVILLE MD
21228-7502
US

V. Phone/Fax

Practice location:
  • Phone: 443-600-2379
  • Fax:
Mailing address:
  • Phone: 443-600-2379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KATRINA L. CLEMONS
Title or Position: OWNER
Credential: LCSW-C
Phone: 443-600-2379