Provider Demographics
NPI:1609639129
Name:PLENA COUNSELING & CONSULTING, LLC
Entity Type:Organization
Organization Name:PLENA COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:IRAHETA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:202-300-6847
Mailing Address - Street 1:5325 CHILLUM PL NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-2620
Mailing Address - Country:US
Mailing Address - Phone:202-300-6847
Mailing Address - Fax:
Practice Address - Street 1:5325 CHILLUM PL NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-2620
Practice Address - Country:US
Practice Address - Phone:202-670-8285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty