Provider Demographics
NPI:1851622898
Name:ROCKVILLE COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:ROCKVILLE COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:SCHWARZ
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:301-928-1451
Mailing Address - Street 1:PO BOX 951
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20830-0951
Mailing Address - Country:US
Mailing Address - Phone:301-525-5512
Mailing Address - Fax:240-386-8392
Practice Address - Street 1:103 N ADAMS ST
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-2256
Practice Address - Country:US
Practice Address - Phone:301-525-5512
Practice Address - Fax:240-386-8392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04147103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty