Healthcare Provider Details

I. General information

NPI: 1316865983
Provider Name (Legal Business Name): YIYING XIONG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 YORK RD STE 211
LUTHERVILLE MD
21093-2276
US

IV. Provider business mailing address

2800 N CHARLES ST
BALTIMORE MD
21218-4026
US

V. Phone/Fax

Practice location:
  • Phone: 856-818-3966
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGP9981
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: