Provider Demographics
NPI:1528889706
Name:ADDVANTAGE COUNSELING, LLC.
Entity type:Organization
Organization Name:ADDVANTAGE COUNSELING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:WILLS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LPC, CCTP1
Authorized Official - Phone:202-579-1144
Mailing Address - Street 1:6320 61ST PL
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1409
Mailing Address - Country:US
Mailing Address - Phone:202-579-1144
Mailing Address - Fax:
Practice Address - Street 1:6320 61ST PL
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1409
Practice Address - Country:US
Practice Address - Phone:202-579-1144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADDVANTAGE COUNSELING, LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty