Provider Demographics
NPI:1275024960
Name:ECHO THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:ECHO THERAPY SERVICES, LLC
Other - Org Name:ECHO THERAPY SERVICES, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARWICK
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:301-768-2344
Mailing Address - Street 1:6944 NASHVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4614
Mailing Address - Country:US
Mailing Address - Phone:301-768-2344
Mailing Address - Fax:
Practice Address - Street 1:6944 NASHVILLE RD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4614
Practice Address - Country:US
Practice Address - Phone:301-768-2344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-29
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0255261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD406234Medicaid