Provider Demographics
NPI:1366907115
Name:A DIFFERENT PERSPECTIVE COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:A DIFFERENT PERSPECTIVE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDI
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:301-728-4607
Mailing Address - Street 1:7310 DODDINGTON CT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-9420
Mailing Address - Country:US
Mailing Address - Phone:301-728-4607
Mailing Address - Fax:
Practice Address - Street 1:14201 LAUREL PARK DR STE 226
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5230
Practice Address - Country:US
Practice Address - Phone:301-728-4607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-06
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty