Provider Demographics
NPI:1225229792
Name:IN THE NEWNESS OF LIFE, INC.
Entity Type:Organization
Organization Name:IN THE NEWNESS OF LIFE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DANAE
Authorized Official - Middle Name:ALLYSON
Authorized Official - Last Name:WHEATLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:410-494-9440
Mailing Address - Street 1:1134 YORK RD
Mailing Address - Street 2:STE 201
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6215
Mailing Address - Country:US
Mailing Address - Phone:410-494-9440
Mailing Address - Fax:410-494-9441
Practice Address - Street 1:1134 YORK RD
Practice Address - Street 2:STE 201
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6215
Practice Address - Country:US
Practice Address - Phone:410-494-9440
Practice Address - Fax:410-494-9441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10748174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD358FMedicare PIN