Provider Demographics
NPI:1780214783
Name:INFINITY COUNE
Entity Type:Organization
Organization Name:INFINITY COUNE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUMARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-881-2040
Mailing Address - Street 1:30 E PADONIA RD STE 202
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-2308
Mailing Address - Country:US
Mailing Address - Phone:410-881-2040
Mailing Address - Fax:410-891-0594
Practice Address - Street 1:30 E PADONIA RD STE 202
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-2308
Practice Address - Country:US
Practice Address - Phone:410-881-2040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-19
Last Update Date:2020-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty