Healthcare Provider Details

I. General information

NPI: 1235029471
Provider Name (Legal Business Name): TETHER ART THERAPY AND COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 THAYER CTR STE C
OAKLAND MD
21550-1139
US

IV. Provider business mailing address

8905 GREYLOCK RD
PIKESVILLE MD
21208-1004
US

V. Phone/Fax

Practice location:
  • Phone: 509-768-2249
  • Fax:
Mailing address:
  • Phone: 201-264-2911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA RABINOWITZ
Title or Position: FOUNDER/THERAPIST
Credential:
Phone: 443-399-6717