Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Antonio W Herold, CRNP-PMH

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1588286520

Antonio W Herold, CRNP-PMH is a Nurse Practitioner in Havre de Grace, Maryland. Qualified in 2020, 6 years ago. Practices with Well Life Counseling and Consulting, LLC, an 11-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2020
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Practice location Address checks out

501 S Union Ave
Havre de Grace, MD 21078-3409
Phone: (443) 843-8054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9649 Belair Rd Ste 104, Nottingham, MD 21236-1117 — (410) 529-1309

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R203258 (MD)

Record details

NPI number1588286520
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP-PMH
Sole proprietorYes
NPI enumeratedMay 13, 2020
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Well Life Counseling And Consulting, Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Havre de Grace