Provider Demographics
NPI:1841835824
Name:UPCOUNTY PASTORAL COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:UPCOUNTY PASTORAL COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LEAD CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:EATON
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:240-401-8686
Mailing Address - Street 1:8 RUSSELL AVE UNIT 402
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2965
Mailing Address - Country:US
Mailing Address - Phone:240-401-8686
Mailing Address - Fax:888-977-1530
Practice Address - Street 1:915 RUSSELL AVE STE B
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-6200
Practice Address - Country:US
Practice Address - Phone:240-401-8686
Practice Address - Fax:888-977-1530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty