Provider Demographics
NPI:1376309989
Name:SEED AND HARVEST COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:SEED AND HARVEST COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONYERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:410-415-9448
Mailing Address - Street 1:10325 GREENSIDE DR
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-3325
Mailing Address - Country:US
Mailing Address - Phone:410-415-9448
Mailing Address - Fax:443-450-9039
Practice Address - Street 1:10325 GREENSIDE DR
Practice Address - Street 2:
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-3325
Practice Address - Country:US
Practice Address - Phone:410-415-9448
Practice Address - Fax:443-450-9039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty