Provider Demographics
NPI:1235819277
Name:FRESH OIL COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:FRESH OIL COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:MELYNDA
Authorized Official - Last Name:HUTT-CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:LC
Authorized Official - Phone:240-326-7961
Mailing Address - Street 1:14418 OLD MILL RD STE 201
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3094
Mailing Address - Country:US
Mailing Address - Phone:301-437-0365
Mailing Address - Fax:
Practice Address - Street 1:14418 OLD MILL RD STE 201
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-3094
Practice Address - Country:US
Practice Address - Phone:301-437-0365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty