Provider Demographics
NPI:1588439095
Name:BLUESTONE COUNSELING GROUP, PLLC
Entity type:Organization
Organization Name:BLUESTONE COUNSELING GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISBROT
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:301-717-2878
Mailing Address - Street 1:PO BOX 60444
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20039-0444
Mailing Address - Country:US
Mailing Address - Phone:301-717-2878
Mailing Address - Fax:
Practice Address - Street 1:509 DECATUR ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-4746
Practice Address - Country:US
Practice Address - Phone:301-717-2878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty