Provider Demographics
NPI:1184200438
Name:SEVERN RUN COUNSELING, INC.
Entity Type:Organization
Organization Name:SEVERN RUN COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARIG
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:410-204-1424
Mailing Address - Street 1:1303 BERNI RUTH LN
Mailing Address - Street 2:
Mailing Address - City:SEVERN
Mailing Address - State:MD
Mailing Address - Zip Code:21144-2651
Mailing Address - Country:US
Mailing Address - Phone:410-204-1424
Mailing Address - Fax:
Practice Address - Street 1:1303 BERNI RUTH LN
Practice Address - Street 2:
Practice Address - City:SEVERN
Practice Address - State:MD
Practice Address - Zip Code:21144-2651
Practice Address - Country:US
Practice Address - Phone:410-204-1424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health