Provider Demographics
NPI:1972906394
Name:POPEVIS, DENISE (LCPC)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:POPEVIS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:
Other - Last Name:GOMEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:31 BOOTH ST.
Mailing Address - Street 2:UNIT 356
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878
Mailing Address - Country:US
Mailing Address - Phone:301-972-1373
Mailing Address - Fax:
Practice Address - Street 1:13241 EXECUTIVE PARK TER
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-2648
Practice Address - Country:US
Practice Address - Phone:301-972-1373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-30
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4819101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional