Healthcare Provider Details

I. General information

NPI: 1710644653
Provider Name (Legal Business Name): BRIANNA SHUMAN LCMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2021
Last Update Date: 05/03/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 MILL ST
HAGERSTOWN MD
21740-6138
US

IV. Provider business mailing address

PO BOX 1831
ELLICOTT CITY MD
21041-1831
US

V. Phone/Fax

Practice location:
  • Phone: 240-489-1108
  • Fax:
Mailing address:
  • Phone: 240-357-8136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLCM999
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: