Provider Demographics
NPI:1861848053
Name:COUNSELING AND GUIDANCE CENTER, P.C.
Entity Type:Organization
Organization Name:COUNSELING AND GUIDANCE CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERMA
Authorized Official - Middle Name:GUY
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:301-652-6180
Mailing Address - Street 1:4933 AUBURN AVE
Mailing Address - Street 2:SUITE #208
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2631
Mailing Address - Country:US
Mailing Address - Phone:301-652-6180
Mailing Address - Fax:301-951-5286
Practice Address - Street 1:4933 AUBURN AVE
Practice Address - Street 2:SUITE #208
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2631
Practice Address - Country:US
Practice Address - Phone:301-652-6180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-06
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD025701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD726693Medicare PIN