Healthcare Provider Details

I. General information

NPI: 1235146366
Provider Name (Legal Business Name): LH PSYCHOLOGICAL-COUNSELING-EDUCATIONAL-SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 04/07/2022
Certification Date: 04/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3502 18TH ST NE
WASHINGTON DC
20018-2738
US

IV. Provider business mailing address

1701 WALKUS CT
DISTRICT HEIGHTS MD
20747-1892
US

V. Phone/Fax

Practice location:
  • Phone: 202-506-3575
  • Fax: 301-420-1476
Mailing address:
  • Phone: 301-785-8865
  • Fax: 240-392-2847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberPRC608
License Number StateDC

VIII. Authorized Official

Name: DR. LON HAMILTON JR.
Title or Position: CEO
Credential: PH.D.
Phone: 240-533-6657