Healthcare Provider Details

I. General information

NPI: 1952192551
Provider Name (Legal Business Name): HAUS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2025
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 DALE AVE
BALTIMORE MD
21206-1305
US

IV. Provider business mailing address

604 DALE AVE
BALTIMORE MD
21206-1305
US

V. Phone/Fax

Practice location:
  • Phone: 724-730-5880
  • Fax:
Mailing address:
  • Phone: 724-730-5880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. MICKAYLA WALDHAUSER
Title or Position: OWNER
Credential: LCPC
Phone: 724-730-5880