Provider Demographics
NPI:1144109265
Name:QUINCE ORCHARD PSYCHOTHERAPY LLC
Entity type:Organization
Organization Name:QUINCE ORCHARD PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JULIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOENHERR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-750-6467
Mailing Address - Street 1:10 N JEFFERSON ST STE 202
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4865
Mailing Address - Country:US
Mailing Address - Phone:240-750-6467
Mailing Address - Fax:240-912-7835
Practice Address - Street 1:10 N JEFFERSON ST STE 202
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4865
Practice Address - Country:US
Practice Address - Phone:240-750-6467
Practice Address - Fax:240-912-7835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty