Provider Demographics
NPI:1003466020
Name:NEW LEAF COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:NEW LEAF COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:LCMFT
Authorized Official - Phone:443-878-8811
Mailing Address - Street 1:2912 CYPRESS BAY CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-7600
Mailing Address - Country:US
Mailing Address - Phone:443-281-9404
Mailing Address - Fax:
Practice Address - Street 1:3290 PINE ORCHARD LN STE A5
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-2272
Practice Address - Country:US
Practice Address - Phone:443-281-9404
Practice Address - Fax:443-222-0135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-12
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty