Provider Demographics
NPI:1588045512
Name:CAFY COUNSELING CENTER
Entity Type:Organization
Organization Name:CAFY COUNSELING CENTER
Other - Org Name:CAFY, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARLEEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:JOELL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:301-882-1210
Mailing Address - Street 1:PO BOX 4419
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20791-4419
Mailing Address - Country:US
Mailing Address - Phone:301-882-1000
Mailing Address - Fax:301-200-5600
Practice Address - Street 1:1300 CARAWAY CT
Practice Address - Street 2:SUITE 205
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-5461
Practice Address - Country:US
Practice Address - Phone:301-882-1000
Practice Address - Fax:301-200-5600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-16
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD334203400Medicaid