Provider Demographics
NPI:1639617772
Name:SILVERLEAF CONSULTING SERVICES, LLC.
Entity Type:Organization
Organization Name:SILVERLEAF CONSULTING SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICIAN/PERINATAL SPEC.
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C, CPLC
Authorized Official - Phone:410-294-0152
Mailing Address - Street 1:929 FOREST BAY CT
Mailing Address - Street 2:
Mailing Address - City:GAMBRILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21054-1603
Mailing Address - Country:US
Mailing Address - Phone:410-294-0152
Mailing Address - Fax:
Practice Address - Street 1:929 FOREST BAY CT
Practice Address - Street 2:
Practice Address - City:GAMBRILLS
Practice Address - State:MD
Practice Address - Zip Code:21054-1603
Practice Address - Country:US
Practice Address - Phone:410-294-0152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD159921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1386923845OtherINDIVIDUAL PRACTITIONER NPI