Provider Demographics
NPI:1366989360
Name:RICH IN HEART, LLC
Entity type:Organization
Organization Name:RICH IN HEART, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERI
Authorized Official - Middle Name:
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:JD, MSW, LCSW-C
Authorized Official - Phone:443-768-7567
Mailing Address - Street 1:139 W RANDALL ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-4445
Mailing Address - Country:US
Mailing Address - Phone:443-768-7567
Mailing Address - Fax:
Practice Address - Street 1:1414 KEY HWY
Practice Address - Street 2:SUITE 300M
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-5189
Practice Address - Country:US
Practice Address - Phone:443-768-7567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-27
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14056251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health