Provider Demographics
NPI:1245483510
Name:INTEGRATED COUNSELING SERVICES
Entity type:Organization
Organization Name:INTEGRATED COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:301-552-8790
Mailing Address - Street 1:8751 GREENBELT RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2400
Mailing Address - Country:US
Mailing Address - Phone:301-552-8790
Mailing Address - Fax:301-552-8792
Practice Address - Street 1:8751 GREENBELT RD
Practice Address - Street 2:SUITE 101
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2400
Practice Address - Country:US
Practice Address - Phone:301-552-8790
Practice Address - Fax:301-552-8792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD106521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty