Provider Demographics
NPI:1548439995
Name:LH PSYCHOLOGICAL COUNSELING ED
Entity type:Organization
Organization Name:LH PSYCHOLOGICAL COUNSELING ED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:LON
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMIN
Authorized Official - Phone:240-544-6657
Mailing Address - Street 1:8957 EDMONSTON RD
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-1005
Mailing Address - Country:US
Mailing Address - Phone:240-533-6657
Mailing Address - Fax:301-614-0888
Practice Address - Street 1:8957 EDMONSTON RD
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1005
Practice Address - Country:US
Practice Address - Phone:240-533-6657
Practice Address - Fax:301-614-0888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC608261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center