Provider Demographics
NPI:1659071454
Name:HYGEA HEALTHCARE, INC.
Entity Type:Organization
Organization Name:HYGEA HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER/EXEC CLINIC
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:C
Authorized Official - Last Name:FRUHLING
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, LCPC, LCADC
Authorized Official - Phone:410-707-6367
Mailing Address - Street 1:400 REDLAND CT STE 102
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3291
Mailing Address - Country:US
Mailing Address - Phone:410-559-1800
Mailing Address - Fax:
Practice Address - Street 1:6415B BELAIR RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-1841
Practice Address - Country:US
Practice Address - Phone:410-559-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty