Provider Demographics
NPI:1902384381
Name:IN THE NEWNESS OF LIFE, LLC
Entity Type:Organization
Organization Name:IN THE NEWNESS OF LIFE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANAE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEATLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:443-939-4195
Mailing Address - Street 1:21 WEST RD STE 111
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2307
Mailing Address - Country:US
Mailing Address - Phone:410-494-9440
Mailing Address - Fax:410-494-9441
Practice Address - Street 1:21 WEST RD STE 111
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2307
Practice Address - Country:US
Practice Address - Phone:410-494-9440
Practice Address - Fax:410-494-9441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-30
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCSW-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty