=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659270239
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CULTIVATE PIECE CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/02/2026
-----------------------------------------------------
Last Update Date | 11/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10450 SHAKER DRIVE SUITE 110
-----------------------------------------------------
City | COLUMBIA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21046-2348
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-931-0706
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 849 FAIRMOUNT AVE STE 200
-----------------------------------------------------
City | TOWSON
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21286-2693
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-931-0706
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MISS JILLIAN PARENTE
-----------------------------------------------------
Credential | LCSW-C
-----------------------------------------------------
Telephone | 443-931-0706
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------