1912351982 NPI number — ADVENTURERS COUNSELING, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912351982 NPI number — ADVENTURERS COUNSELING, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADVENTURERS COUNSELING, 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:
1912351982
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/15/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1250
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ELDERSBURG
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21784-1250
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-280-9749
Provider Business Mailing Address Fax Number:
443-784-0404

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2028 LIBERTY RD
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
ELDERSBURG
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21784-6677
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-707-9990
Provider Business Practice Location Address Fax Number:
443-784-0404
Provider Enumeration Date:
04/15/2016

Additional Information

Authorized Official

Authorized Official Last Name:
RACHLINSKI
Authorized Official First Name:
RACHEL
Authorized Official Middle Name:
WEISS
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
443-280-9749

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  LC4789 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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