Provider Demographics
NPI:1750727970
Name:PEARSON-CARMODY COUNSELING
Entity type:Organization
Organization Name:PEARSON-CARMODY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:PEARSON-CARMODY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-206-0457
Mailing Address - Street 1:PO BOX 572
Mailing Address - Street 2:
Mailing Address - City:BETHANY BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19930-0572
Mailing Address - Country:US
Mailing Address - Phone:443-206-0457
Mailing Address - Fax:302-703-2225
Practice Address - Street 1:32630 CEDAR DR UNIT A
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:DE
Practice Address - Zip Code:19967-6946
Practice Address - Country:US
Practice Address - Phone:443-206-0457
Practice Address - Fax:302-402-6100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-14
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-0000983251S00000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty