Healthcare Provider Details

I. General information

NPI: 1790607851
Provider Name (Legal Business Name): GEO'S COUNSELING SOLUTIONS,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 DORCHESTER AVE STE GREEN2
CAMBRIDGE MD
21613-2421
US

IV. Provider business mailing address

411 DORCHESTER AVE STE GREEN2
CAMBRIDGE MD
21613-2421
US

V. Phone/Fax

Practice location:
  • Phone: 240-579-4341
  • Fax:
Mailing address:
  • Phone: 240-579-4341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. GEOVANNY MARTINEZ
Title or Position: CEO
Credential: OWNER
Phone: 240-579-4341