Organization

Heartspace Counseling Llc

Clinical Social Worker in Baltimore, MD(View on Map)

Legal Business Name

Heartspace Counseling Llc

NPI Number

1063076446

NPI Type

Organization

Enumeration Date

04/30/2019

Specialties

(Taxonomies)

Code

1041C0700X
101YM0800X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

5405 GRINDON AVE
5405 GRINDON AVE

City

Baltimore
Baltimore

State

MD
MD

Postal Code

21214-1936
21214-1936

Country

US
US

Telephone Number

(443) 429-0119
(443) 429-0119

Authorized Official

Name

Natalie Banwarth

Title or Position

OWNER/CLINICIAN

Telephone Number

(443) 429-0119

Identifiers

Identifier

1023537040
1063076446

Identifier State

Unknown
Unknown

Identifier Issuer

NPI 1
NPI 2

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

natalie@heartspacecounselingllc.com

Endpoint Description

email address

Use

Direct

Content Type

Unknown

Affiliation

N

Endpoint Location

600 Wyndhurst Ave Ste 112Baltimore, MD212102432US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/07/2024

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