Provider Demographics
NPI:1356165765
Name:THE HEALING CORNERSTONE LLC
Entity type:Organization
Organization Name:THE HEALING CORNERSTONE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ZALEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CROWDER
Authorized Official - Suffix:
Authorized Official - Credentials:LGPC, NCC
Authorized Official - Phone:301-664-4708
Mailing Address - Street 1:14502 GREENVIEW DR STE 5001179
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-3287
Mailing Address - Country:US
Mailing Address - Phone:301-664-4708
Mailing Address - Fax:
Practice Address - Street 1:3501 ST. PAUL STREET
Practice Address - Street 2:STE 103
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2121
Practice Address - Country:US
Practice Address - Phone:016-644-7083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty