Provider Demographics
NPI:1790497469
Name:STANZIONE COUNSELING & WELLNESS, L.L.C.
Entity Type:Organization
Organization Name:STANZIONE COUNSELING & WELLNESS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:JUSTINE
Authorized Official - Last Name:STANZIONE
Authorized Official - Suffix:
Authorized Official - Credentials:LGPC
Authorized Official - Phone:443-286-8666
Mailing Address - Street 1:3 DEAN LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21769-7975
Mailing Address - Country:US
Mailing Address - Phone:443-286-8666
Mailing Address - Fax:
Practice Address - Street 1:5301 BUCKEYSTOWN PIKE STE 480F
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-8370
Practice Address - Country:US
Practice Address - Phone:240-823-5890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty