MAINSTREET COUNSELING SERVICES, LLC
NPI 1104061258
Counselor - Professional in Upper Marlboro, MD
- Organization
- Counselor
- Professional
About MAINSTREET COUNSELING SERVICES, LLC
This page provides the complete NPI Profile along with additional information for Mainstreet Counseling Services, Llc, a provider established in Upper Marlboro, Maryland operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1104061258 assigned on December 2008. The practitioner's primary taxonomy code is 101YP2500X with license number RN117769 (MD). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Jacqueline Angella Payne Phd, Aprn-bc (Clinical Director)
- NPI
- 1104061258 Verify this NPI
- Provider Name
- MAINSTREET COUNSELING SERVICES, LLC
- Entity Type
- Organization
- Location Address
- 14514 MAIN ST UPPER MARLBORO, MD 20772
- Location Phone
- (301) 627-6816
- Mailing Address
- 14514 MAIN ST UPPER MARLBORO, MD 20772
- Mailing Phone
- (301) 627-6816
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-03-2008
- Last Update Date
- 12-03-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- RN117769
- License State
- MD
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
UPPER MARLBORO, MD 20772
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104061258, enumerated as an "organization" on December 03, 2008.
The provider is located at 14514 MAIN ST UPPER MARLBORO, MD 20772 and the phone number is (301) 627-6816.
Counselor with taxonomy code 101YP2500X and a focus in Professional.