Provider Demographics
NPI:1851713598
Name:CHILD PARENT COUNSELING
Entity Type:Organization
Organization Name:CHILD PARENT COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:MCNEW
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, RPT, NCC
Authorized Official - Phone:410-858-4292
Mailing Address - Street 1:224 MAYO RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:EDGEWATER
Mailing Address - State:MD
Mailing Address - Zip Code:21037-2951
Mailing Address - Country:US
Mailing Address - Phone:410-858-4292
Mailing Address - Fax:
Practice Address - Street 1:224 MAYO RD
Practice Address - Street 2:SUITE E
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-2951
Practice Address - Country:US
Practice Address - Phone:410-858-4292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty