Provider Demographics
NPI:1891578472
Name:IGBENE CONSULTING
Entity Type:Organization
Organization Name:IGBENE CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:IGBENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-455-6166
Mailing Address - Street 1:3344 PITCH PINE DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-2267
Mailing Address - Country:US
Mailing Address - Phone:917-455-6166
Mailing Address - Fax:
Practice Address - Street 1:3344 PITCH PINE DR
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-2267
Practice Address - Country:US
Practice Address - Phone:917-455-6166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty