Provider Demographics
NPI:1265834147
Name:ELENI ALEXIOU, LCSW-C, LLC
Entity Type:Organization
Organization Name:ELENI ALEXIOU, LCSW-C, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ELENI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXIOU
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:240-292-9308
Mailing Address - Street 1:4827 RUGBY AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3034
Mailing Address - Country:US
Mailing Address - Phone:240-292-9308
Mailing Address - Fax:
Practice Address - Street 1:4827 RUGBY AVE STE 302
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3034
Practice Address - Country:US
Practice Address - Phone:240-292-9308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-22
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17549251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health