Organization
HEALING ROOTS COUNSELINGG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL B SHEESLEY LCPC, LCADC (PSYCHOTHERAPIST)
(410) 245-4547
Entity
Organization
Contact information
Practice address
101 S MAIN ST, SUITE 307, BEL AIR, MD 21014-3840
(410) 245-4547
Mailing address
101 S MAIN ST, SUITE 307, BEL AIR, MD 21014-3840
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA2135
MD
101YM0800X
Mental Health Counselor
Primary
LC5267
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3660150
—
MD
Enumeration date
11/06/2016
Last updated
11/06/2016
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