Provider Demographics
NPI:1487490876
Name:ENDURE COUNSELING AND CONSULTING SERVICES LLC
Entity type:Organization
Organization Name:ENDURE COUNSELING AND CONSULTING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:DILLARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:571-443-8237
Mailing Address - Street 1:8507 OXON HILL RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-4774
Mailing Address - Country:US
Mailing Address - Phone:571-443-8237
Mailing Address - Fax:
Practice Address - Street 1:8507 OXON HILL RD STE 200
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-4774
Practice Address - Country:US
Practice Address - Phone:571-443-8237
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health