Provider Demographics
NPI:1306412440
Name:PRESTCOTT-HOLLANDER, CHANTELL C (MED, LCPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:CHANTELL
Middle Name:C
Last Name:PRESTCOTT-HOLLANDER
Suffix:
Gender:F
Credentials:MED, LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20300 SENECA MEADOWS PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-7010
Mailing Address - Country:US
Mailing Address - Phone:301-349-1249
Mailing Address - Fax:
Practice Address - Street 1:20300 SENECA MEADOWS PKWY STE 110
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-7010
Practice Address - Country:US
Practice Address - Phone:301-349-1249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-30
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC14047101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional