Healthcare Provider Details

I. General information

NPI: 1144109265
Provider Name (Legal Business Name): QUINCE ORCHARD PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2025
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N JEFFERSON ST STE 202
FREDERICK MD
21701-4865
US

IV. Provider business mailing address

10 N JEFFERSON ST STE 202
FREDERICK MD
21701-4865
US

V. Phone/Fax

Practice location:
  • Phone: 240-750-6467
  • Fax: 240-912-7835
Mailing address:
  • Phone: 240-750-6467
  • Fax: 240-912-7835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

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