Provider Demographics
NPI:1184035701
Name:INFINITY COUNSELING AND THERAPEUTIC SERVICES,LLC
Entity Type:Organization
Organization Name:INFINITY COUNSELING AND THERAPEUTIC SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-627-3428
Mailing Address - Street 1:9142 EDMONSTON CT
Mailing Address - Street 2:APT 203
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-1530
Mailing Address - Country:US
Mailing Address - Phone:240-565-1784
Mailing Address - Fax:
Practice Address - Street 1:9142 EDMONSTON CT
Practice Address - Street 2:APT 203
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1530
Practice Address - Country:US
Practice Address - Phone:240-565-1784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLMFT 000080101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty