Provider Demographics
NPI:1144647561
Name:BEHAVIORAL COUNSELING SERVICES OF WASHINGTON COUNTY, INC.
Entity type:Organization
Organization Name:BEHAVIORAL COUNSELING SERVICES OF WASHINGTON COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:MOONEYHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-739-7748
Mailing Address - Street 1:PO BOX 503
Mailing Address - Street 2:
Mailing Address - City:FUNKSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21734-0503
Mailing Address - Country:US
Mailing Address - Phone:301-739-7748
Mailing Address - Fax:301-739-4001
Practice Address - Street 1:427 E. PATRICK STREET
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701
Practice Address - Country:US
Practice Address - Phone:301-662-7003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-24
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty