| Heartspace Counseling Llc | |
|
5405 Grindon Ave Baltimore MD 21214-1936 | |
| (443) 429-0119 | |
| Not Available |
| Full Name | Heartspace Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5405 Grindon Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Natalie Banwarth (OWNER/CLINICIAN) |
| Authorized Official Contact | 4434290119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartspace Counseling Llc 5405 Grindon Ave Baltimore MD 21214-1936 Ph: (443) 429-0119 | Heartspace Counseling Llc 5405 Grindon Ave Baltimore MD 21214-1936 Ph: (443) 429-0119 |
| NPI Number | 1063076446 |
|---|---|
| Provider Enumeration Date | 04/30/2019 |
| Last Update Date | 06/07/2024 |
| Certification Date | 06/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063076446 | NPI | - | NPPES |
| 1023537040 | Other | NPI 1 | |
| 1063076446 | Other | NPI 2 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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