Provider Demographics
NPI:1528245354
Name:BETHESDA COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:BETHESDA COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:LANGDON
Authorized Official - Suffix:
Authorized Official - Credentials:LPA
Authorized Official - Phone:704-887-5259
Mailing Address - Street 1:13850 BALLANTYNE CORPORATE PL
Mailing Address - Street 2:SUITE 500
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-2829
Mailing Address - Country:US
Mailing Address - Phone:704-887-5259
Mailing Address - Fax:704-887-5201
Practice Address - Street 1:13850 BALLANTYNE CORPORATE PL
Practice Address - Street 2:SUITE 500
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2829
Practice Address - Country:US
Practice Address - Phone:704-887-5259
Practice Address - Fax:704-887-5201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2562101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty