Provider Demographics
NPI:1487082335
Name:M&C COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:M&C COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:301-503-3045
Mailing Address - Street 1:11909 ANDREW ST
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20902-1149
Mailing Address - Country:US
Mailing Address - Phone:301-503-3045
Mailing Address - Fax:
Practice Address - Street 1:2446 REEDIE DR STE 1
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-4651
Practice Address - Country:US
Practice Address - Phone:301-503-3045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-30
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2847251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1578705927OtherINDIVIDUAL NPI FOR CARMEN E GARCIA LCPC.