SAFE HARBOR CHRISTIAN COUNSELING (NPI# 1568835072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568835072 |
| Entity Type | Organization |
| Organization Name | SAFE HARBOR CHRISTIAN COUNSELING |
| Practice Address |
11150 Berry Rd Waldorf MD 20603-3990 |
| Mailing Address |
1208 E Churchville Rd Ste 300 Bel Air MD 21014-3442 |
| Practice Telephone | 4108934600 |
| Practice Fax Number | 4436404358 |
| Mailing Telephone | 4108934600 |
| Mailing Fax Number | 4436404358 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |
| Authorized Official Name | ERIK SUNDQUIST (NATIONAL DIRECTOR) |
| Authorized Official Telephone | 4108934600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICARE PTAN | 345110 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356899892 | Safe Harbor Christian Counseling | Psychologist | 4425 Forbes Blvd, Suite J, Lanham, MD 20706-4338 | 2016-09-13 |
| 1174071617 | Safe Harbor Christian Counseling | Psychologist | 658 Lucabaugh Mill Rd, Westminster, MD 21157-3814 | 2016-09-13 |
| 1922551217 | Safe Harbor Christian Counseling | Psychologist | 8921 Warfield Rd, Gaithersburg, MD 20882-4430 | 2016-08-03 |
| 1497208797 | Safe Harbor Christian Counseling | Psychologist | 12805 Georgia Ave, Silver Spring, MD 20906-3716 | 2016-08-03 |
| 1417400714 | Safe Harbor Christian Counseling | Psychologist | 1134 Long Corner Rd, Mount Airy, MD 21771-3827 | 2016-08-03 |
| 1558814855 | Safe Harbor Christian Counseling | Psychologist | 8234 Woodsboro Pike, Walkersville, MD 21793-7707 | 2016-08-03 |
| 1558735902 | Safe Harbor Christian Counseling | Psychologist | 1 Kettering Dr, Upper Marlboro, MD 20774-1514 | 2015-11-23 |
| 1306219811 | Safe Harbor Christian Counseling | Psychologist | 40 Burke Ave, Towson, MD 21286-1124 | 2015-11-05 |
| 1912370420 | Safe Harbor Christian Counseling | Psychologist | 1641 Old Westminster Rd, Westminster, MD 21157-6718 | 2015-11-05 |
| 1568835171 | Safe Harbor Christian Counseling | Psychologist | 9505 Deereco Rd, Timonium, MD 21093-2136 | 2015-11-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Safe Harbor Christian Counseling LLC | 260 Gateway Dr, Bel Air, Maryland 21014 |
| New York State Corporations | SAFE HARBOR CHRISTIAN COUNSELING OF CONNECTICUT, LLC | 57 Stevenson Road, Fairfield, Ct 06825 |
| Street Address |
11150 BERRY RD |
| City | WALDORF |
| State | MD |
| Zip Code | 20603-3990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
| 1235585472 | Msb Counseling Services, Inc | Counselor | 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 | 2016-05-06 |
| 1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
| 1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
| 1477810067 | Johnathan Vital | Clinical Neuropsychologist | 2413 Altenburg Ct, Waldorf, MD 20603 | 2012-04-19 |
| 1831480615 | Tara Marie Adams | Physical Therapist | 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 | 2011-04-27 |
| 1891007662 | Tanuja Katta | Pharmacist | 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 | 2010-07-09 |
| 1962725697 | Rhonda Bumpers-bland | Occupational Therapist | 2945 Fern Hill Place, Waldorf, MD 20603 | 2010-03-09 |
| 1265672901 | Shannon L Hamm | Counselor | 6126 Gray Wolf Court, Waldorf, MD 20603 | 2009-02-20 |
| Find all providers in zip 20603 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669088803 | Jennifer Silver | Counselor | 12722 Country Ln, Waldorf, MD 20601-3338 | 2020-09-22 |
| 1700401692 | Teresa Allen | Counselor | 11100 Billingsley Rd, Waldorf, MD 20602-3400 | 2020-06-16 |
| 1215578398 | Curtrice Scott | Counselor | 10382 Cassidy Ct, Waldorf, MD 20601-3762 | 2019-09-30 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1861845067 | Chanell Gaines | Counselor | 11605 Lewisham Pl, #109, Waldorf, MD 20602-5135 | 2016-07-22 |
| 1639529407 | Create Your Life, LLC | Counselor | 5008 Vane Ct, Suite 2041, Waldorf, MD 20602-1526 | 2016-06-13 |
| 1053787416 | Lysa Kirby | Counselor | 2369 Walbrook Ct, Waldorf, MD 20602-2148 | 2015-08-19 |
| 1396122198 | Deborah Bernetta Allen | Counselor | 1282 Smallwood Dr W # 317, Waldorf, MD 20603-4732 | 2015-04-30 |
| 1073931432 | Beata Kinsey | Counselor | 1742 Temi Dr, Waldorf, MD 20601-3382 | 2014-04-02 |
| 1942636253 | Richella N Washington | Counselor | 3261 Old Washington Road, Suite 2020, Waldorf, MD 20602 | 2013-09-18 |
| Find all providers in WALDORF | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.