Heithaus, Mark

Heithaus, Mark is an individual health care provider with primary practice located at 2480 Llewellyn Ave , Fort George G Meade MD 20755-7081. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Heithaus, Mark can be contacted via phone (301) 677-8895.

Contact Information

Primary practice address
2480 Llewellyn Ave Fort George G Meade MD 20755-7081
Phone: (301) 677-8895
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X P81553 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 23603 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X 26303 Maryland

Profile Details

NPI number 1134409444
LBN Legal business name Heithaus, Mark
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2011
Last updated Oct 24th, 2023 - about last year

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.

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