Organization
HEALING CIRCLE MENTAL HEALTH INC.
Active
Organization
HEALING CIRCLE MENTAL HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURESTA LYNNE KRAUSE LCSW-C (PRESIDENT)
(443) 624-9416
Entity
Organization
Contact information
Practice address
1304 DUCHESS LN, HUNTINGTOWN, MD 20639-2336
(443) 624-9416
Mailing address
1304 DUCHESS LN, HUNTINGTOWN, MD 20639-2336
(443) 624-9416
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13080
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13080
LCSW-C
MD
Enumeration date
10/10/2007
Last updated
10/10/2007
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