SAFE HARBOR CHRISTIAN COUNSELING (NPI# 1558735902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558735902 |
| Entity Type | Organization |
| Organization Name | SAFE HARBOR CHRISTIAN COUNSELING |
| Practice Address |
1 Kettering Dr Upper Marlboro MD 20774-1514 |
| Mailing Address |
1208 E Churchville Rd Ste 300 Bel Air MD 21014-3442 |
| Practice Telephone | 4108934600 |
| Practice Fax Number | 4436404358 |
| Mailing Telephone | 4108934600 |
| Mailing Fax Number | 4436404358 |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |
| 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 | 345110 | 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 |
| 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 |
| 1568835171 | Safe Harbor Christian Counseling | Psychologist | 9505 Deereco Rd, Timonium, MD 21093-2136 | 2015-11-04 |
| 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 |
1 KETTERING DR |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-1514 |
| 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 |
|---|---|---|---|---|
| 1437765310 | Ashley Yavonne Grier | Counselor | 261 Red Jade Dr, Upper Marlboro, MD 20774-1588 | 2020-09-16 |
| 1831739333 | Jasmine Mcleod | Counselor | 7200 Twinflower Pl, Upper Marlboro, MD 20772-4523 | 2020-01-13 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1639643885 | Kevin G Williams | Counselor | 4405 Largo Rd, Upper Marlboro, MD 20772-7837 | 2019-01-21 |
| 1699265694 | United Counseling and Support Services LLC | Counselor | 9701 Apollo Dr Ste 10020705, Upper Marlboro, MD 20774-4783 | 2018-05-15 |
| 1689172033 | Claudia Veronica Flowers | Counselor | 407 Clairborne St, Upper Marlboro, MD 20774-1965 | 2018-01-30 |
| 1093230815 | Marvin Reese | Counselor | 10559 Joyceton Dr, Upper Marlboro, MD 20774-1464 | 2017-08-14 |
| 1194240556 | Lead By Example Behavial Health Services LLC | Counselor | 1300 Mercantile Ln Ste 129-8, Upper Marlboro, MD 20774-5327 | 2017-08-07 |
| 1952824245 | Latonia Laffitte | Counselor | 4609 Penzance Place, Upper Marlboro, MD 20772-6923 | 2017-07-19 |
| 1801339874 | Gregory Roberts Jr. | Counselor | 2201 Barnstable Drive, Upper Marlboro, MD 20774 | 2016-11-23 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
Please comment or provide details below to improve the information on SAFE HARBOR CHRISTIAN COUNSELING.
| 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.