Healthcare Provider Details

I. General information

NPI: 1689586547
Provider Name (Legal Business Name): FRANCESCA CREVOISERAT LGPAT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2912 WALNUT AVE
OWINGS MILLS MD
21117-1524
US

IV. Provider business mailing address

10402 CRANBROOK HILLS PL APT E
COCKEYSVILLE MD
21030-2718
US

V. Phone/Fax

Practice location:
  • Phone: 410-921-3128
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberATG444
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: