Healthcare Provider Details

I. General information

NPI: 1427328517
Provider Name (Legal Business Name): NEW NORMAL COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2012
Last Update Date: 01/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7605 HARMANS RD
HANOVER MD
21076-1550
US

IV. Provider business mailing address

7516 SAFFRON CT
HANOVER MD
21076-1459
US

V. Phone/Fax

Practice location:
  • Phone: 443-591-2363
  • Fax: 410-760-4066
Mailing address:
  • Phone: 443-597-2363
  • Fax: 410-760-4066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC2706
License Number StateMD

VIII. Authorized Official

Name: ANNETTE HYMAN
Title or Position: EXECUTIVE DIRECTOR
Credential: LCPC
Phone: 443-597-2363