Healthcare Provider Details

I. General information

NPI: 1235072125
Provider Name (Legal Business Name): EDDIE LOMASH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 RITCHIE HWY STE 126
SEVERNA PARK MD
21146-4145
US

IV. Provider business mailing address

815 RITCHIE HWY STE 126
SEVERNA PARK MD
21146-4145
US

V. Phone/Fax

Practice location:
  • Phone: 443-618-7921
  • Fax:
Mailing address:
  • Phone: 443-618-7921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWARD LOMASH III
Title or Position: CEO
Credential: M.A.; PH.D.
Phone: 443-618-4921