Provider Demographics
NPI:1457453367
Name:WASHINGTON PASTORAL COUNSELING SERVICE
Entity Type:Organization
Organization Name:WASHINGTON PASTORAL COUNSELING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MANDI
Authorized Official - Middle Name:C
Authorized Official - Last Name:MADER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:301-681-3201
Mailing Address - Street 1:9727 GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1458
Mailing Address - Country:US
Mailing Address - Phone:301-681-3201
Mailing Address - Fax:301-681-8862
Practice Address - Street 1:9727 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1458
Practice Address - Country:US
Practice Address - Phone:301-681-3201
Practice Address - Fax:301-681-8862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherFEDERAL TAX ID