MEDICARE: COUNSELING MADE EASY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1356035059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNSELING MADE EASY LLC

Provider Business Mailing Address
First Line	:	2008 DAYTON ST
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-4220
Country	:	US
Telephone Number	:	202-329-6751
Fax Number	:

Provider Business Practice Location Address
First Line	:	2008 DAYTON ST
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-4220
Country	:	US
Telephone Number	:	202-329-6751
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	CRYSTAL THORPE
Credential	:
Telephone Number	:	202-329-6751

Provider Enumeration Date	:	06/06/2023
Last Update Date	:	06/06/2023

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