Provider Demographics
NPI:1275075210
Name:GREENSPRING HERBS, LLC
Entity Type:Organization
Organization Name:GREENSPRING HERBS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL HERBALIST & NUTRITIONIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILLIAN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BAR-AV
Authorized Official - Suffix:
Authorized Official - Credentials:LDN
Authorized Official - Phone:410-258-9625
Mailing Address - Street 1:12230 GREENPSRING AVE.
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117
Mailing Address - Country:US
Mailing Address - Phone:410-258-9625
Mailing Address - Fax:
Practice Address - Street 1:9170 ROUTE 108
Practice Address - Street 2:SUITE 202
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-1987
Practice Address - Country:US
Practice Address - Phone:410-258-9625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX3409133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty