Healthcare Provider Details

I. General information

NPI: 1649714635
Provider Name (Legal Business Name): ANEW CARE COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2016
Last Update Date: 12/05/2022
Certification Date: 12/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12138 CENTRAL AVE SUITE 516
MITCHELLVILLE MD
20721-1910
US

IV. Provider business mailing address

12138 CENTRAL AVE SUITE 516
MITCHELLVILLE MD
20721-1910
US

V. Phone/Fax

Practice location:
  • Phone: 240-603-6527
  • Fax: 240-525-0852
Mailing address:
  • Phone: 240-603-6527
  • Fax: 240-525-0852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: TAMMERRA HEWITT
Title or Position: CEO
Credential: NCC, LCPC, LPC, ACS
Phone: 240-603-6527