Provider Demographics
NPI:1174687552
Name:THE FAMILY COUNSELING CENTER OF LAUREL
Entity Type:Organization
Organization Name:THE FAMILY COUNSELING CENTER OF LAUREL
Other - Org Name:THE FAMILY COUNSELING CENTER OF LAUREL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:301-776-9492
Mailing Address - Street 1:6 DELFORD AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904
Mailing Address - Country:US
Mailing Address - Phone:301-776-9492
Mailing Address - Fax:301-625-0864
Practice Address - Street 1:6 DELFORD AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-3401
Practice Address - Country:US
Practice Address - Phone:301-776-9492
Practice Address - Fax:301-625-0864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC5194101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty