Provider Demographics
NPI:1871825695
Name:ARDENT COUNSELING, LLC
Entity Type:Organization
Organization Name:ARDENT COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MEZELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDOR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:571-330-3624
Mailing Address - Street 1:3104 CALLOWAY CT
Mailing Address - Street 2:
Mailing Address - City:LAKE RIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-1103
Mailing Address - Country:US
Mailing Address - Phone:571-330-3624
Mailing Address - Fax:
Practice Address - Street 1:9300 FOREST POINT CIR
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4765
Practice Address - Country:US
Practice Address - Phone:571-330-3624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-03
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty