Healthcare Provider Details

I. General information

NPI: 1467370320
Provider Name (Legal Business Name): EMBERSTONE COUNSELING AND CONSULTING, 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

522 ROCK SPRING RD
BEL AIR MD
21014-2941
US

IV. Provider business mailing address

522 ROCK SPRING RD
BEL AIR MD
21014-2941
US

V. Phone/Fax

Practice location:
  • Phone: 443-267-7665
  • Fax:
Mailing address:
  • Phone: 443-267-7665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: REBECCA MANAR
Title or Position: MEMBER/MANAGER
Credential: LCSW-C
Phone: 443-267-7665