Healthcare Provider Details

I. General information

NPI: 1912812546
Provider Name (Legal Business Name): THE STUDIO SOCIETY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2307 N ROLLING RD SUITE 125
WINDSOR MILL MD
21244
US

IV. Provider business mailing address

5961 DUVEL ST
IJAMSVILLE MD
21754-9649
US

V. Phone/Fax

Practice location:
  • Phone: 443-402-8951
  • Fax:
Mailing address:
  • Phone: 443-402-8951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: AYANA CRANK
Title or Position: MANAGING MEMBER
Credential: COSMETOLOGIST
Phone: 443-743-5641