Provider Demographics
NPI:1376954362
Name:SENIORS COUNSELING SENIORS LLC
Entity Type:Organization
Organization Name:SENIORS COUNSELING SENIORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:BENOY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW-C, LICSW
Authorized Official - Phone:410-740-0171
Mailing Address - Street 1:10823 TOPBRANCH LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3683
Mailing Address - Country:US
Mailing Address - Phone:410-740-0171
Mailing Address - Fax:
Practice Address - Street 1:10823 TOPBRANCH LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3683
Practice Address - Country:US
Practice Address - Phone:410-740-0171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty