Healthcare Provider Details

I. General information

NPI: 1962183244
Provider Name (Legal Business Name): LOVING CARE BEHAVIORAL HEALTH NETWORK, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2023
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10451 MILL RUN CIR STE 400
OWINGS MILLS MD
21117-5594
US

IV. Provider business mailing address

10451 MILL RUN CIR STE 400
OWINGS MILLS MD
21117-5594
US

V. Phone/Fax

Practice location:
  • Phone: 301-755-8596
  • Fax:
Mailing address:
  • Phone: 301-755-8596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: PROF. PENNY D GAUER
Title or Position: PSYCHOTHERAPIST
Credential: LC12763
Phone: 443-650-3004