Provider Demographics
NPI:1073145074
Name:FOR EVERY MOUNTAIN COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:FOR EVERY MOUNTAIN COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAL
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:202-907-6515
Mailing Address - Street 1:13319 OLD CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4712
Mailing Address - Country:US
Mailing Address - Phone:202-907-6515
Mailing Address - Fax:240-266-0306
Practice Address - Street 1:4601 PRESIDENTS DR STE 135
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4894
Practice Address - Country:US
Practice Address - Phone:202-907-6515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD240039100Medicaid