Provider Demographics
NPI:1467072991
Name:CONVERGING WATERS, PLLC
Entity Type:Organization
Organization Name:CONVERGING WATERS, PLLC
Other - Org Name:BROOKE DUBLER, PHD, LP, PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREYAHRT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:240-397-9722
Mailing Address - Street 1:53 E PATRICK ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-5673
Mailing Address - Country:US
Mailing Address - Phone:240-397-9722
Mailing Address - Fax:
Practice Address - Street 1:5 EAST ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-2110
Practice Address - Country:US
Practice Address - Phone:607-592-5447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-24
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)