Sera Havrilla

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP7776 Issued in MD

Practice address

828 Dulaney Valley Rd Ste 12
Towson, MD 21204-2822

Phone

(410) 657-2324

NPI assigned

Jun 30, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530316800000",
    "number": "1134614241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S BRADFORD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243607",
            "telephone_number": "443-610-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 DULANEY VALLEY RD STE 12",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042822",
            "telephone_number": "410-657-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVRILLA",
        "first_name": "SERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-30",
        "last_updated": "2018-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP7776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Hatfield, BS PHARMACY
• Lorah E Hauf, LCDC
• Maryellen Hauver, RDN, LDN
• Lane Y Havens
• Katerina Jane Havlik, DO
• Molly Hawes
• Michele Hawkins-McHenry, LCPC
• Jada Hawkins
• Hawn Therapy and Consulting, LLC
• Hawthorne Legacy Enterprises

• Mental Health Counselor in Towson, MD
• Providers in Towson, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.