Provider Demographics
NPI:1699322354
Name:TENNEH JOHNSON KEMAH COUNSELING AND CONSULTING SERVICES
Entity type:Organization
Organization Name:TENNEH JOHNSON KEMAH COUNSELING AND CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TENNEH
Authorized Official - Middle Name:JOHNSON
Authorized Official - Last Name:KEMAH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:301-257-1326
Mailing Address - Street 1:12511 OLD GUNPOWDER RD
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1151
Mailing Address - Country:US
Mailing Address - Phone:301-257-1326
Mailing Address - Fax:
Practice Address - Street 1:5570 STERRETT PL STE 100
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2615
Practice Address - Country:US
Practice Address - Phone:301-257-1326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty