Provider Demographics
NPI:1093192510
Name:HSI COUNSELING SERVICES
Entity Type:Organization
Organization Name:HSI COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:EISENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWC
Authorized Official - Phone:410-977-9555
Mailing Address - Street 1:2112 MARYLAND AVE
Mailing Address - Street 2:BASEMENT OFFICE
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-5624
Mailing Address - Country:US
Mailing Address - Phone:443-388-9530
Mailing Address - Fax:443-388-9535
Practice Address - Street 1:2112 MARYLAND AVE
Practice Address - Street 2:BASEMENT OFFICE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-5624
Practice Address - Country:US
Practice Address - Phone:443-388-9530
Practice Address - Fax:443-388-9535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty