Provider Demographics
NPI:1992032189
Name:ANOTHER LOOK AT HEALING, LLC
Entity Type:Organization
Organization Name:ANOTHER LOOK AT HEALING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOOPER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C, CEAP
Authorized Official - Phone:240-274-5680
Mailing Address - Street 1:849 QUINCE ORCHARD BLVD STE I
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1684
Mailing Address - Country:US
Mailing Address - Phone:240-274-5680
Mailing Address - Fax:240-715-9698
Practice Address - Street 1:849 QUINCE ORCHARD BLVD STE I
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1684
Practice Address - Country:US
Practice Address - Phone:240-274-5680
Practice Address - Fax:240-715-9698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-09
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD140461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty