Provider Demographics
NPI:1780014522
Name:EMC2 EDUCATIONAL CONSULTING, LLC
Entity Type:Organization
Organization Name:EMC2 EDUCATIONAL CONSULTING, LLC
Other - Org Name:ONYX THERAPY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LANAIL
Authorized Official - Middle Name:R
Authorized Official - Last Name:PLUMMER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LCPC, LPC, NCC
Authorized Official - Phone:202-400-7524
Mailing Address - Street 1:PO BOX 21331
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-0831
Mailing Address - Country:US
Mailing Address - Phone:202-400-7524
Mailing Address - Fax:
Practice Address - Street 1:1420 COLUMBIA RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-4779
Practice Address - Country:US
Practice Address - Phone:202-332-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-14
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14345101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
12554075OtherCAQH