Provider Demographics
NPI:1063261766
Name:KINDWAY COUNSELING, LLC
Entity type:Organization
Organization Name:KINDWAY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:ANTHONY
Authorized Official - Suffix:JR
Authorized Official - Credentials:LCPC, LMHC
Authorized Official - Phone:773-727-7336
Mailing Address - Street 1:11 BYTE CT STE C
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-8718
Mailing Address - Country:US
Mailing Address - Phone:301-276-5196
Mailing Address - Fax:
Practice Address - Street 1:11 BYTE CT STE C
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-8718
Practice Address - Country:US
Practice Address - Phone:301-276-5196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty