Organization
IN THE NEWNESS OF LIFE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANAE ALLYSON WHEATLEY LCSW-C (OWNER/CLINICIAN)
(410) 494-9440
Entity
Organization
Contact information
Practice address
1134 YORK RD, SUITE 313, LUTHERVILLE, MD 21093-6215
(410) 494-9440
(410) 494-9441
Mailing address
1134 YORK RD, SUITE 313, LUTHERVILLE, MD 21093-6215
(410) 494-9440
(410) 494-9441
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
700005700
—
MD
Enumeration date
10/24/2012
Last updated
10/24/2012
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