Provider Demographics
NPI:1598140063
Name:ORTH & WATSON LLC
Entity Type:Organization
Organization Name:ORTH & WATSON LLC
Other - Org Name:LIFE MATTERS ASSESSMENT AND COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:240-488-4131
Mailing Address - Street 1:17869 GARRETT HWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550-7172
Mailing Address - Country:US
Mailing Address - Phone:240-488-4131
Mailing Address - Fax:240-488-4132
Practice Address - Street 1:17869 GARRETT HWY
Practice Address - Street 2:SUITE C
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550-7172
Practice Address - Country:US
Practice Address - Phone:240-488-4131
Practice Address - Fax:240-488-4132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-27
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty