Healthcare Provider Details

I. General information

NPI: 1467373522
Provider Name (Legal Business Name): KRISTINA MARIA HORVATH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4128 HAYWARD AVE STE G
BALTIMORE MD
21215-4340
US

IV. Provider business mailing address

136 W MAIN ST
ELKTON MD
21921-5541
US

V. Phone/Fax

Practice location:
  • Phone: 410-314-1030
  • Fax:
Mailing address:
  • Phone: 410-996-4878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGP18132
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: