Healthcare Provider Details

I. General information

NPI: 1790519403
Provider Name (Legal Business Name): HELAINA EBLING COUNSELING, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2024
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19405 GUNPOWDER RD
MANCHESTER MD
21102-2606
US

IV. Provider business mailing address

19405 GUNPOWDER RD
MANCHESTER MD
21102-2606
US

V. Phone/Fax

Practice location:
  • Phone: 443-465-6177
  • Fax:
Mailing address:
  • Phone: 443-465-6177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: HELAINA B EBLING
Title or Position: CLINICAL SOCIAL WORKER
Credential: MSW, LCSW-C
Phone: 443-465-6177