WATERSHED COUNSELING SERVICES LLC NPI 1770938953

NPI Information

NPI: 1770938953
Provider Name: WATERSHED COUNSELING SERVICES, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
246 MERRIMAC COURT
PRINCE FREDERICK, MD
ZIP 20678
Phone: (443) 486-4848
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WATERSHED COUNSELING SERVICES, LLC is a professional counselor in Prince Frederick, MD. WATERSHED COUNSELING SERVICES, LLC NPI is 1770938953. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

246 MERRIMAC COURT
PRINCE FREDERICK, MD
ZIP 20678-453
Phone: (443) 486-4848

The provider's authorized official is Karen E Ray .
The authorized official title is Director and has the following contact phone number (443) 486-4848.

The enumeration date for this NPI number is 4/26/2016 and was last updated on 4/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	11812	MARYLAND	No
2	101YP2500X	Counselor	Professional	LC3657	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D298254	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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