1336243757 NPI number — SOLUTIONS COUNSELING AND EDUCATION SERVICES, INC.

Table of content: (NPI 1336243757)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336243757 NPI number — SOLUTIONS COUNSELING AND EDUCATION SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOLUTIONS COUNSELING AND EDUCATION SERVICES, INC.
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:
1336243757
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1009 NORFOLK DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LA PLATA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20646-3551
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-645-2233
Provider Business Mailing Address Fax Number:
301-645-3633

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11315 PEMBROOKE SQUARE MEDICAL CENTER
Provider Second Line Business Practice Location Address:
SUITE 112-A
Provider Business Practice Location Address City Name:
WALDORF
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-645-2233
Provider Business Practice Location Address Fax Number:
301-645-3633
Provider Enumeration Date:
09/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCCLURE
Authorized Official First Name:
MARILYN
Authorized Official Middle Name:
R
Authorized Official Title or Position:
PRESIDENT/THERAPIST
Authorized Official Telephone Number:
301-645-2233

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  LC0866 , 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)

  • Identifier: 333071 . This is a "MHN" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 413463 . This is a "VALUE OPTIONS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 260971 . This is a "COMPSYCH" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: J340 0001 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 4125532 . This is a "MAMSI" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 298ASO . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com