Provider Demographics
NPI:1679075337
Name:LORIANN OBERLIN COUNSELING & MEDIATION, LLC
Entity Type:Organization
Organization Name:LORIANN OBERLIN COUNSELING & MEDIATION, LLC
Other - Org Name:LORIANN OBERLIN COUNSELING & MEDIATION, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:LCPC
Authorized Official - Prefix:
Authorized Official - First Name:LORIANN
Authorized Official - Middle Name:H
Authorized Official - Last Name:OBERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:301-461-8528
Mailing Address - Street 1:273 HICKORY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:QUEENSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21658-1392
Mailing Address - Country:US
Mailing Address - Phone:301-461-8528
Mailing Address - Fax:
Practice Address - Street 1:119 N WEST ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-2709
Practice Address - Country:US
Practice Address - Phone:301-461-8528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-08
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2762101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty