Provider Demographics
NPI:1861132748
Name:STOVER & OWSLEY, LLC
Entity type:Organization
Organization Name:STOVER & OWSLEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER, CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:KATELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRENTALANGE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:410-370-8637
Mailing Address - Street 1:1220 E JOPPA ROAD
Mailing Address - Street 2:BLD B, STE 400F
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5811
Mailing Address - Country:US
Mailing Address - Phone:410-449-4955
Mailing Address - Fax:443-787-0306
Practice Address - Street 1:1220 E JOPPA ROAD
Practice Address - Street 2:BLD B, STE 400F
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-5811
Practice Address - Country:US
Practice Address - Phone:410-449-4955
Practice Address - Fax:443-787-0306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty