Provider Demographics
NPI:1518407931
Name:ENSYNC COUNSELING & VOCATIONAL SERVICES LLC
Entity Type:Organization
Organization Name:ENSYNC COUNSELING & VOCATIONAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:PEARL
Authorized Official - Middle Name:
Authorized Official - Last Name:OJIERE
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:410-440-4789
Mailing Address - Street 1:PO BOX 8440
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-0440
Mailing Address - Country:US
Mailing Address - Phone:410-440-4789
Mailing Address - Fax:
Practice Address - Street 1:7912 MARFIELD PL
Practice Address - Street 2:APT. K
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-3627
Practice Address - Country:US
Practice Address - Phone:410-440-4789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2178251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health