Provider Demographics
NPI:1144592908
Name:REGENERATIONS COUNSELING SERVICES INC
Entity Type:Organization
Organization Name:REGENERATIONS COUNSELING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:WASHINGTON
Authorized Official - Last Name:HOWDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-779-8415
Mailing Address - Street 1:6301 IVY LN
Mailing Address - Street 2:SUITE 421
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-1402
Mailing Address - Country:US
Mailing Address - Phone:301-779-8415
Mailing Address - Fax:301-313-0918
Practice Address - Street 1:4600 FORBES BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4312
Practice Address - Country:US
Practice Address - Phone:301-779-8415
Practice Address - Fax:301-313-0918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-08
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD5305251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health