Provider Demographics
NPI:1235146366
Name:LH PSYCHOLOGICAL-COUNSELING-EDUCATIONAL-SERVICES, INC.
Entity Type:Organization
Organization Name:LH PSYCHOLOGICAL-COUNSELING-EDUCATIONAL-SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LON
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:240-533-6657
Mailing Address - Street 1:1701 WALKUS CT
Mailing Address - Street 2:
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747-1892
Mailing Address - Country:US
Mailing Address - Phone:301-785-8865
Mailing Address - Fax:240-392-2847
Practice Address - Street 1:3502 18TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-2738
Practice Address - Country:US
Practice Address - Phone:202-506-3575
Practice Address - Fax:301-420-1476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC1900X
DCPRC608261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0384729 00Medicaid
DC0384729 00OtherMEDICARE PART B CROSSOVER