Healthcare Provider Details

I. General information

NPI: 1679075337
Provider Name (Legal Business Name): LORIANN OBERLIN COUNSELING & MEDIATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2018
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 MARKET ST STE 213
GAITHERSBURG MD
20878-6559
US

IV. Provider business mailing address

2904 HERB GARDEN DR
URBANA MD
21704-1717
US

V. Phone/Fax

Practice location:
  • Phone: 301-461-8528
  • Fax: 888-866-4288
Mailing address:
  • Phone: 301-461-8528
  • Fax: 888-866-4288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC2762
License Number StateMD

VIII. Authorized Official

Name: LORIANN H OBERLIN
Title or Position: LCPC
Credential: LCPC
Phone: 301-461-8528