Healthcare Provider Details

I. General information

NPI: 1619087202
Provider Name (Legal Business Name): FOR ALL SEASONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 10/22/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 TALBOT ST
EASTON MD
21601-3525
US

IV. Provider business mailing address

300 TALBOT ST
EASTON MD
21601-3525
US

V. Phone/Fax

Practice location:
  • Phone: 410-822-1018
  • Fax: 410-820-5884
Mailing address:
  • Phone: 410-822-1018
  • Fax: 410-820-5884

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: MRS. BETH ANNE LANGRELL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 410-822-1018