Provider Demographics
NPI:1952015786
Name:MARYLAND COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:MARYLAND COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:FRASCA
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:240-452-0872
Mailing Address - Street 1:9508 FAITH LN
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:MD
Mailing Address - Zip Code:20872-1009
Mailing Address - Country:US
Mailing Address - Phone:240-452-0872
Mailing Address - Fax:
Practice Address - Street 1:9508 FAITH LN
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:MD
Practice Address - Zip Code:20872-1009
Practice Address - Country:US
Practice Address - Phone:240-452-0872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty