Healthcare Provider Details

I. General information

NPI: 1851226617
Provider Name (Legal Business Name): LOREN STRONG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1036 SAINT NICHOLAS DR
WALDORF MD
20603-4757
US

IV. Provider business mailing address

2120 E FIRE TOWER RD # 107-125
GREENVILLE NC
27858-9284
US

V. Phone/Fax

Practice location:
  • Phone: 410-934-0580
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP17114
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA23074
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: