Gorham, Quianna
Gorham, Quianna is an sole proprietor health care provider with primary practice located at 1514 N Rolling Rd , Catonsville MD 21228-1147. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gorham, Quianna can be contacted via phone (434) 426-0485.Contact Information
Primary practice address
1514 N Rolling Rd
Catonsville MD 21228-1147
Phone: (434) 426-0485
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCM651 | Maryland |
Profile Details
| NPI number | 1558768853 |
|---|---|
| LBN Legal business name | Gorham, Quianna |
| Credentials | LCMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2014 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558768853 | NPPES |
| Maryland | MEDICAID | 715717 |
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