Provider Demographics
NPI:1538572755
Name:BETHESDA-CHEVY CHASE ASSESSMENT AND COUNSELING ASSOCIATES
Entity type:Organization
Organization Name:BETHESDA-CHEVY CHASE ASSESSMENT AND COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:GIRAL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-879-0576
Mailing Address - Street 1:4701 SANGAMORE RD.
Mailing Address - Street 2:#S235
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20816
Mailing Address - Country:US
Mailing Address - Phone:301-681-6789
Mailing Address - Fax:301-384-4703
Practice Address - Street 1:4701 SANGAMORE RD.
Practice Address - Street 2:#S235
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20816
Practice Address - Country:US
Practice Address - Phone:301-879-0576
Practice Address - Fax:301-384-4703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-05
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty