Provider Demographics
NPI:1033433487
Name:LINGANORE COUNSELING AND WELLNESS, LLC
Entity Type:Organization
Organization Name:LINGANORE COUNSELING AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:KATHRYN
Authorized Official - Last Name:HOLZINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C, CEAP
Authorized Official - Phone:301-865-2226
Mailing Address - Street 1:11670 OLD NATIONAL PIKE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NEW MARKET
Mailing Address - State:MD
Mailing Address - Zip Code:21774-6121
Mailing Address - Country:US
Mailing Address - Phone:301-865-2226
Mailing Address - Fax:301-865-6720
Practice Address - Street 1:11670 OLD NATIONAL PIKE
Practice Address - Street 2:SUITE 103
Practice Address - City:NEW MARKET
Practice Address - State:MD
Practice Address - Zip Code:21774-6121
Practice Address - Country:US
Practice Address - Phone:301-865-2226
Practice Address - Fax:301-865-6720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2016-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty