Provider Demographics
NPI:1811086572
Name:DPK COUNSELING & CONSULTING LLC
Entity type:Organization
Organization Name:DPK COUNSELING & CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT MSN APRN BC
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PETRO-KREAHLING
Authorized Official - Suffix:
Authorized Official - Credentials:CLINICAL NURSE SPECI
Authorized Official - Phone:410-535-4854
Mailing Address - Street 1:301 STEEPLE CHASE DRIVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678
Mailing Address - Country:US
Mailing Address - Phone:410-535-4854
Mailing Address - Fax:410-535-6272
Practice Address - Street 1:301 STEEPLE CHASE DRIVE
Practice Address - Street 2:SUITE 104
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678
Practice Address - Country:US
Practice Address - Phone:410-535-4854
Practice Address - Fax:410-535-6272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OTH000Medicare UPIN