Healthcare Provider Details

I. General information

NPI: 1740868587
Provider Name (Legal Business Name): NEW HEART COUNSELNIG, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 04/01/2021
Certification Date: 03/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 N. CENTER STREET
WESTMINSTER MD
21157
US

IV. Provider business mailing address

PO BOX 973
WESTMINSTER MD
21158-0973
US

V. Phone/Fax

Practice location:
  • Phone: 443-821-8989
  • Fax: 410-848-5629
Mailing address:
  • Phone: 410-848-5785
  • Fax: 410-848-5629

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: MARY ZIEGLER
Title or Position: OWNER/PROVIDER
Credential: LCSW-C
Phone: 443-821-8989