Provider Demographics
NPI:1972611366
Name:CATOCTIN COUNSELING CENTERS, INC
Entity type:Organization
Organization Name:CATOCTIN COUNSELING CENTERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:R
Authorized Official - Last Name:STOUTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:301-745-6687
Mailing Address - Street 1:228 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-5721
Mailing Address - Country:US
Mailing Address - Phone:301-745-6687
Mailing Address - Fax:301-739-0041
Practice Address - Street 1:228 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-5721
Practice Address - Country:US
Practice Address - Phone:301-745-6687
Practice Address - Fax:301-739-0041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD101YP2500X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0X38CAOtherCAREFIRST BCBS
372854OtherMANAGED HEALTH NETWORK
5482516OtherAETNA
T515OtherCAREFIRST BCBS NCA