SAFE HARBOR CHRISTIAN COUNSELING (NPI# 1912378266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912378266 |
| Entity Type | Organization |
| Organization Name | SAFE HARBOR CHRISTIAN COUNSELING |
| Practice Address |
8040 Woodyard Rd Clinton MD 20735-1963 |
| Mailing Address |
1208 E Churchville Rd Bel Air MD 21014-3442 |
| Practice Telephone | 4108934600 |
| Practice Fax Number | 4436404358 |
| Mailing Telephone | 4108934600 |
| Mailing Fax Number | 4436404358 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| 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 | 349173 | 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 |
| 1568835072 | Safe Harbor Christian Counseling | Psychologist | 11150 Berry Rd, Waldorf, MD 20603-3990 | 2015-11-05 |
| 1912370420 | Safe Harbor Christian Counseling | Psychologist | 1641 Old Westminster Rd, Westminster, MD 21157-6718 | 2015-11-05 |
| 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 |
8040 WOODYARD RD |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-1963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750478 | Latibbie Cavett | Counselor | 1311 Rosemont Dr, Clinton, MS 39056-3954 | 2020-11-05 |
| 1871136267 | Michael Deshuan Gordon | Counselor | 112 Spanish Moss Dr, Clinton, MS 39056-5838 | 2019-10-18 |
| 1255989117 | Donette Lyn Rotta | Counselor | 6300 Storkson Rd # B2, Clinton, WA 98236-9514 | 2019-09-03 |
| 1235692534 | Mending Broken Bridges Counseling & Consultation, LLC | Counselor | 801 E Northside Dr Ste C, Clinton, MS 39056-3663 | 2019-04-12 |
| 1982171260 | Tanya Vincent | Counselor | 7105 Chickweed Ct, Clinton, MD 20735-5856 | 2018-10-25 |
| 1962926188 | Lashonna Denise Fletcher | Counselor | 201 Kirkwood Dr, Clinton, MS 39056-5970 | 2017-07-29 |
| 1780112268 | Shonda Monique Sessoms | Counselor | 203b Lindale Cir, Clinton, MS 39056-4507 | 2017-05-30 |
| 1295261857 | Well Being Counseling Center LLC | Counselor | 9015 Woodyard Rd Ste 215, Clinton, MD 20735-4209 | 2017-05-02 |
| 1558894428 | Linda Buckmon | Counselor | 5809 Spyri Dr, Clinton, MD 20735-3725 | 2017-04-07 |
| 1467997296 | Janice Hopkins Jr. | Counselor | 420 Rolling Grove Dr, Clinton, MS 39056-2047 | 2017-01-03 |
| Find all providers in CLINTON | ||||
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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.