Provider Demographics
NPI:1790038172
Name:BLUE SAILS COUNSELING AND CONSULTING, INC
Entity Type:Organization
Organization Name:BLUE SAILS COUNSELING AND CONSULTING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VELEAK
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:KELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:410-231-0488
Mailing Address - Street 1:225 TOWN SQUARE DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LUSBY
Mailing Address - State:MD
Mailing Address - Zip Code:20657-6534
Mailing Address - Country:US
Mailing Address - Phone:410-231-0488
Mailing Address - Fax:410-449-6171
Practice Address - Street 1:225 TOWN SQUARE DR
Practice Address - Street 2:SUITE 3
Practice Address - City:LUSBY
Practice Address - State:MD
Practice Address - Zip Code:20657-6534
Practice Address - Country:US
Practice Address - Phone:410-231-0488
Practice Address - Fax:410-449-6171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-22
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD14873160251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health