Provider Demographics
NPI:1194981423
Name:COUNSELING AND PERSONAL EMPOWERMENT SERVICES, LLC
Entity type:Organization
Organization Name:COUNSELING AND PERSONAL EMPOWERMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:SHERWOOD
Authorized Official - Last Name:BARHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:410-992-3251
Mailing Address - Street 1:9189 RED BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2013
Mailing Address - Country:US
Mailing Address - Phone:410-992-3251
Mailing Address - Fax:888-568-6057
Practice Address - Street 1:9189 RED BRANCH RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2013
Practice Address - Country:US
Practice Address - Phone:410-992-3251
Practice Address - Fax:888-568-6057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0708101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty