Provider Demographics
NPI:1508391947
Name:TARBOX COUNSELING & WELLNESS, INC
Entity Type:Organization
Organization Name:TARBOX COUNSELING & WELLNESS, INC
Other - Org Name:DANA SOHLBERG, LCPC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOHLBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCPC
Authorized Official - Phone:443-827-8169
Mailing Address - Street 1:5550 NEWBURY ST
Mailing Address - Street 2:SUITE A, ROOM D
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3673
Mailing Address - Country:US
Mailing Address - Phone:443-827-8169
Mailing Address - Fax:
Practice Address - Street 1:5550 NEWBURY ST
Practice Address - Street 2:SUITE A, ROOM D
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3673
Practice Address - Country:US
Practice Address - Phone:443-827-8169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5301251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4225309Medicaid