Provider Demographics
NPI:1174148589
Name:CHASE COUNSELING AND CONSULTING SERVICES LLC
Entity type:Organization
Organization Name:CHASE COUNSELING AND CONSULTING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIDGETTE
Authorized Official - Middle Name:W
Authorized Official - Last Name:CHASE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-468-8823
Mailing Address - Street 1:2300 WASHINGTON PL NE APT 423
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-1061
Mailing Address - Country:US
Mailing Address - Phone:202-468-8823
Mailing Address - Fax:
Practice Address - Street 1:1140 3RD ST NE FL 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-6723
Practice Address - Country:US
Practice Address - Phone:202-468-8823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty