SAFE HARBOR CHRISTIAN COUNSELING (NPI# 1205208485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205208485 |
| Entity Type | Organization |
| Organization Name | SAFE HARBOR CHRISTIAN COUNSELING |
| Practice Address |
1300 Mercantile Ln Largo MD 20774-5327 |
| Mailing Address |
1208 E Churchville Rd Bel Air MD 21014-3442 |
| Practice Telephone | 4108934600 |
| Practice Fax Number | 4436404358 |
| Mailing Telephone | 4108934600 |
| Mailing Fax Number | 4436404358 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |
| Authorized Official Name | ERIK SUNDQUIST (NATIONAL DIRECTOR) |
| Authorized Official Telephone | 4108934600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICARE PTAN | 349173 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356899892 | Safe Harbor Christian Counseling | Psychologist | 4425 Forbes Blvd, Suite J, Lanham, MD 20706-4338 | 2016-09-13 |
| 1174071617 | Safe Harbor Christian Counseling | Psychologist | 658 Lucabaugh Mill Rd, Westminster, MD 21157-3814 | 2016-09-13 |
| 1922551217 | Safe Harbor Christian Counseling | Psychologist | 8921 Warfield Rd, Gaithersburg, MD 20882-4430 | 2016-08-03 |
| 1497208797 | Safe Harbor Christian Counseling | Psychologist | 12805 Georgia Ave, Silver Spring, MD 20906-3716 | 2016-08-03 |
| 1417400714 | Safe Harbor Christian Counseling | Psychologist | 1134 Long Corner Rd, Mount Airy, MD 21771-3827 | 2016-08-03 |
| 1558814855 | Safe Harbor Christian Counseling | Psychologist | 8234 Woodsboro Pike, Walkersville, MD 21793-7707 | 2016-08-03 |
| 1558735902 | Safe Harbor Christian Counseling | Psychologist | 1 Kettering Dr, Upper Marlboro, MD 20774-1514 | 2015-11-23 |
| 1306219811 | Safe Harbor Christian Counseling | Psychologist | 40 Burke Ave, Towson, MD 21286-1124 | 2015-11-05 |
| 1568835072 | Safe Harbor Christian Counseling | Psychologist | 11150 Berry Rd, Waldorf, MD 20603-3990 | 2015-11-05 |
| 1912370420 | Safe Harbor Christian Counseling | Psychologist | 1641 Old Westminster Rd, Westminster, MD 21157-6718 | 2015-11-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Safe Harbor Christian Counseling LLC | 260 Gateway Dr, Bel Air, Maryland 21014 |
| New York State Corporations | SAFE HARBOR CHRISTIAN COUNSELING OF CONNECTICUT, LLC | 57 Stevenson Road, Fairfield, Ct 06825 |
| Street Address |
1300 MERCANTILE LN |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522745 | Health Choice By Grace, LLC | Clinic/Center | 1300 Mercantile Ln, Largo, MD 20774-5327 | 2019-08-06 |
| 1104306414 | Curtis Tommy Clair Jr. | Counselor | 1300 Mercantile Ln, Largo, MD 20774-5327 | 2018-08-16 |
| 1609374610 | Medical One Solutions, Inc | Nursing Care | 1300 Mercantile Ln, 100k, Largo, MD 20774-5327 | 2018-01-24 |
| 1134662034 | Brown'scounseling & Therapeutic Services, LLC | Counselor | 1300 Mercantile Ln, Suite 141-d, Largo, MD 20774-5327 | 2016-11-24 |
| 1952756587 | Margo Renee Hammond | Social Worker | 1300 Mercantile Ln, Suite 129-35, Largo, MD 20774-5327 | 2016-05-02 |
| 1891157962 | Brandon Moseley | Counselor | 1300 Mercantile Ln, Largo, MD 20774-5327 | 2016-03-28 |
| 1417344896 | Community Counseling & Mentoring Services, Inc. | Clinic/Center | 1300 Mercantile Ln, Suite 208, Largo, MD 20774-5327 | 2015-04-23 |
| 1164853669 | My Covenant Place | Community/Behavioral Health | 1300 Mercantile Ln, Suite 123, Largo, MD 20774-5327 | 2013-12-09 |
| 1366871907 | Salim Bilal Edwards | Counselor | 1300 Mercantile Ln, 139-r, Largo, MD 20774-5327 | 2013-11-04 |
| 1285061754 | Lauri R Preston | Social Worker | 1300 Mercantile Ln, Suite 141-d, Largo, MD 20774-5327 | 2013-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120549 | Jacquean Lynette Kosh | Counselor | 711 Harry S Truman Dr Apt 210, Largo, MD 20774-2095 | 2020-09-28 |
| 1508472184 | Roland George Hollins Jr. | Counselor | 1300 Mercantile Ln Ste 129-40, Largo, MD 20774-5327 | 2020-09-19 |
| 1801422100 | Diversity Counseling Associates, LLC | Counselor | 1300 Mercantile Ln Ste 129-17, Largo, MD 20774-5327 | 2020-03-18 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1598227043 | Lavina Miranda Thompson Bowling | Counselor | 1300 Mercantile Ln Ste 198, Largo, MD 20774-5339 | 2019-04-03 |
| 1982161915 | Life Line Holdings, LLC | Counselor | 10225 Ulmerton Rd Ste 3a, Largo, FL 33771-3519 | 2019-02-26 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1881638807 | Sandra Swary Hall | Counselor | 10825 Seminole Blvd, Unit 2a, Largo, FL 33778-3315 | 2006-06-16 |
| 1730706250 | Partnered Therapeutics Solutions | Counselor | 9701 Apollo Dr Ste 100, Largo, MD 20774-4785 | 2020-06-30 |
| 1912543752 | Jamila Hymon | Counselor | 1300 Mercantile Ln Ste 141, Largo, MD 20774-5331 | 2019-11-26 |
| Find all providers in LARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.