Provider Demographics
NPI:1780955054
Name:KENT COUNSELING, LLC
Entity type:Organization
Organization Name:KENT COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:KENT
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:410-662-9949
Mailing Address - Street 1:3405 GREENWAY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2645
Mailing Address - Country:US
Mailing Address - Phone:410-662-9949
Mailing Address - Fax:
Practice Address - Street 1:3405 GREENWAY
Practice Address - Street 2:SUITE 203
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2645
Practice Address - Country:US
Practice Address - Phone:410-662-9949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3690101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty