Provider Demographics
NPI:1568719631
Name:PEOPLES CHOICE COUNSELING AND HEALTH SERVICES INC
Entity Type:Organization
Organization Name:PEOPLES CHOICE COUNSELING AND HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BINU
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW, LCSW-C
Authorized Official - Phone:301-503-6623
Mailing Address - Street 1:7305 BALTIMORE AVE
Mailing Address - Street 2:SUITE@103
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-3234
Mailing Address - Country:US
Mailing Address - Phone:301-969-1458
Mailing Address - Fax:301-969-1459
Practice Address - Street 1:13201 TANEY DR
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-3254
Practice Address - Country:US
Practice Address - Phone:301-503-6623
Practice Address - Fax:301-969-1459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD14745079261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)