Organization Active NPI

Eunoia Holistic Therapy Services, LLC

  • Professional Counselor
  • Hanover, MD
National Provider Identifier
1144980780
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EUNOIA HOLISTIC THERAPY SERVICES, LLC
Practice address
7200 Alden Way Apt 4019
Hanover, MD 21076-2376
Phone
(240) 350-0334
NPI assigned
Dec 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Authorized official

Name
Ms. Devynne S Stevenson, LCPCNPI 1790050219
Title
Owner
Phone
(240) 350-0334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

7200 Alden Way Apt 4019
Hanover, MD 21076-2376

Mailing address

7200 Alden Way Apt 4019
Hanover, MD 21076-2376
Phone (240) 350-0334

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.eunoia360therapy.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1144980780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 ALDEN WAY APT 4019",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210762376",
            "telephone_number": "240-350-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 ALDEN WAY APT 4019",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210762376",
            "telephone_number": "240-350-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUNOIA HOLISTIC THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "DEVYNNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-350-0334",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.eunoia360therapy.com",
            "affiliation": "N",
            "endpointDescription": "EHR website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7200 Alden Way Apt 4019",
            "city": "Hanover",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210762376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hanover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.