Provider Demographics
NPI:1114244951
Name:KNIGHT COUNSELING AND SPIRITUAL DIRECTION, INC
Entity Type:Organization
Organization Name:KNIGHT COUNSELING AND SPIRITUAL DIRECTION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:GILBERT
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:II
Authorized Official - Credentials:LCPC
Authorized Official - Phone:410-456-4920
Mailing Address - Street 1:1808 BRIARCLIFF RD
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-3810
Mailing Address - Country:US
Mailing Address - Phone:410-456-4920
Mailing Address - Fax:866-558-0487
Practice Address - Street 1:305 W CHESAPEAKE AVE STE 505
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-4421
Practice Address - Country:US
Practice Address - Phone:410-456-4920
Practice Address - Fax:866-558-0487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-03
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3150101YP1600X
MD10884LCSW-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty