Organization
HEARTSPACE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE BANWARTH LCSW-C (OWNER/CLINICIAN)
(443) 429-0119
Entity
Organization
Contact information
Practice address
5405 GRINDON AVE, BALTIMORE, MD 21214-1936
(443) 429-0119
Mailing address
5405 GRINDON AVE, BALTIMORE, MD 21214-1936
(443) 429-0119
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023537040
NPI 1
—
01
—
1063076446
NPI 2
—
Enumeration date
04/30/2019
Last updated
06/07/2024
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