Provider Demographics
NPI:1366052193
Name:PSYCHOLOGICAL COUNSELING AND EDUCATIONAL SERVICES, LLC
Entity type:Organization
Organization Name:PSYCHOLOGICAL COUNSELING AND EDUCATIONAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NATOSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPEIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW-C
Authorized Official - Phone:301-683-8833
Mailing Address - Street 1:4409 FORBES BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4373
Mailing Address - Country:US
Mailing Address - Phone:301-683-8833
Mailing Address - Fax:
Practice Address - Street 1:4409 FORBES BLVD STE B
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4373
Practice Address - Country:US
Practice Address - Phone:301-683-8833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty