Healthcare Provider Details
I. General information
NPI: 1720908668
Provider Name (Legal Business Name): QUINCE ORCHARD PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1212 EAST CHUCHVILLE RD SUITE 200
BEL AIR MD
21014-3416
US
IV. Provider business mailing address
1212 EAST CHUCHVILLE RD SUITE 200
BEL AIR MD
21014-3416
US
V. Phone/Fax
- Phone: 240-750-6467
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JULIANE
SCHOENHERR
Title or Position: COO
Credential:
Phone: 240-750-6467