Provider Demographics
NPI:1740027432
Name:AO CONSULTATION SERVICES, LLC
Entity type:Organization
Organization Name:AO CONSULTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AFFIONG
Authorized Official - Middle Name:S
Authorized Official - Last Name:ODUOK
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:443-299-8632
Mailing Address - Street 1:750 CONCOURSE CIR STE 103
Mailing Address - Street 2:PMB 390
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2995
Mailing Address - Country:US
Mailing Address - Phone:443-299-8632
Mailing Address - Fax:
Practice Address - Street 1:513 EASTERN BLVD
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221-6702
Practice Address - Country:US
Practice Address - Phone:443-299-8632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty