1427949106 NPI number — GRACE CHRISTIAN COUNSELING SERVICES LLC

Table of content: CHRISTINE ANDREA HRDLICKA NNP (NPI 1477059764)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427949106 NPI number — GRACE CHRISTIAN COUNSELING SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GRACE CHRISTIAN COUNSELING SERVICES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427949106
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10807 FALLS RD UNIT 566
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLANDVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21022-7522
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-835-7436
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6318 PRINCESS GARDEN PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANHAM
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20706-2935
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-835-7436
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/11/2025

Additional Information

Authorized Official

Authorized Official Last Name:
BAYNARD
Authorized Official First Name:
SAMANTHA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
443-835-7436

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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