Healthcare Provider Details

I. General information

NPI: 1396663365
Provider Name (Legal Business Name): QUINCE ORCHARD PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 E CHURCHVILLE RD STE 200
BEL AIR MD
21014-3481
US

IV. Provider business mailing address

1212 E CHURCHVILLE RD STE 200
BEL AIR MD
21014-3481
US

V. Phone/Fax

Practice location:
  • Phone: 443-595-7627
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JULIANE SCHOENHERR
Title or Position: COO
Credential:
Phone: 240-750-6467