Healthcare Provider Details

I. General information

NPI: 1689501132
Provider Name (Legal Business Name): EMBER AND COMPANY THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7755 BELLE POINT DR
GREENBELT MD
20770-3316
US

IV. Provider business mailing address

4400 CALVERT RD APT 423
COLLEGE PARK MD
20740-3386
US

V. Phone/Fax

Practice location:
  • Phone: 240-630-4657
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: TERRANE L LIDDELL
Title or Position: OWNER
Credential:
Phone: 443-473-6097