Provider Demographics
NPI:1043823180
Name:COMFORTING MINDS COUNSELING & CONSULTING
Entity Type:Organization
Organization Name:COMFORTING MINDS COUNSELING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ROBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW,LCSW-C, LCSW
Authorized Official - Phone:225-772-5059
Mailing Address - Street 1:PO BOX 1284
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20725-1284
Mailing Address - Country:US
Mailing Address - Phone:301-683-8944
Mailing Address - Fax:
Practice Address - Street 1:15630 OLD COLUMBIA PIKE STE E280
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-1617
Practice Address - Country:US
Practice Address - Phone:301-683-8944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMFORTING MINDS HOLISTIC WELLNESS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-28
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1952844193Medicaid