Provider Demographics
NPI:1790368611
Name:DENISHA SALLEY COUNSELING
Entity Type:Organization
Organization Name:DENISHA SALLEY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISHA
Authorized Official - Middle Name:LATRESE
Authorized Official - Last Name:SALLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:917-686-0570
Mailing Address - Street 1:8877 TAMEBIRD CT APT C
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2728
Mailing Address - Country:US
Mailing Address - Phone:917-686-0570
Mailing Address - Fax:
Practice Address - Street 1:8877 TAMEBIRD CT APT C
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2728
Practice Address - Country:US
Practice Address - Phone:917-686-0570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)