Provider Demographics
NPI:1578186250
Name:CARDINAL COUNSELING, LLC
Entity Type:Organization
Organization Name:CARDINAL COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUMMER
Authorized Official - Middle Name:BLEYER
Authorized Official - Last Name:TRADER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:443-521-4810
Mailing Address - Street 1:6224 FOOKS MILL RD
Mailing Address - Street 2:
Mailing Address - City:RHODESDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21659-1160
Mailing Address - Country:US
Mailing Address - Phone:443-521-4810
Mailing Address - Fax:
Practice Address - Street 1:6224 FOOKS MILL RD
Practice Address - Street 2:
Practice Address - City:RHODESDALE
Practice Address - State:MD
Practice Address - Zip Code:21659-1160
Practice Address - Country:US
Practice Address - Phone:443-521-4810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-28
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty