Healthcare Provider Details

I. General information

NPI: 1780513374
Provider Name (Legal Business Name): OAK & EMBER COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 WILLOW BEND DR APT 2D
OWINGS MILLS MD
21117-2696
US

IV. Provider business mailing address

133 WILLOW BEND DR APT 2D
OWINGS MILLS MD
21117-2696
US

V. Phone/Fax

Practice location:
  • Phone: 831-206-8694
  • Fax:
Mailing address:
  • Phone: 831-206-8694
  • 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: MEGHAN ROGERS
Title or Position: OWNER/THERAPIST
Credential: LCSW-C
Phone: 831-206-8694