| United Counseling And Support Services | |
|
9701 Apollo Dr Ste 330 Upper Marlboro MD 20774-4795 | |
| (240) 487-6934 | |
| (240) 714-3155 |
| Full Name | United Counseling And Support Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 9701 Apollo Dr Ste 330, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Christine Watkins (OWNER) |
| Authorized Official Contact | 2403881763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Counseling And Support Services 9701 Apollo Dr Ste 330 Upper Marlboro MD 20774-4795 Ph: (240) 388-1763 | United Counseling And Support Services 9701 Apollo Dr Ste 330 Upper Marlboro MD 20774-4795 Ph: (240) 487-6934 |
| NPI Number | 1942744040 |
|---|---|
| Provider Enumeration Date | 12/07/2016 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Medicare PECOS PAC ID | 6709276967 |
|---|---|
| Medicare Enrollment ID | O20211202000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942744040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Carlos A Astrada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558379958 PECOS PAC ID: 9931167632 Enrollment ID: I20070625000156 |
| Provider Name | Queenesha Herbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346769544 PECOS PAC ID: 2062857840 Enrollment ID: I20240304000017 |
| Provider Name | Jenae Bryant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740753276 PECOS PAC ID: 5890137210 Enrollment ID: I20240530000866 |
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