Healthcare Provider Details

I. General information

NPI: 1558754101
Provider Name (Legal Business Name): NEW NORMAL COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2015
Last Update Date: 03/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 ASHTON RD
HANOVER MD
21076-3157
US

IV. Provider business mailing address

7516 SAFFRON CT
HANOVER MD
21076-1459
US

V. Phone/Fax

Practice location:
  • Phone: 443-597-2363
  • Fax:
Mailing address:
  • Phone: 443-597-2363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License NumberLC2706
License Number StateMD

VIII. Authorized Official

Name: ANNETTE M HYMAN
Title or Position: EXECUTIVE DIRECTOR, FOUNDER
Credential:
Phone: 443-597-2364