Healthcare Provider Details

I. General information

NPI: 1457947657
Provider Name (Legal Business Name): LYNNE B PETERS, COGNITIONS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2020
Last Update Date: 12/12/2020
Certification Date: 12/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 WAVELAND RD
CATONSVILLE MD
21228-4221
US

IV. Provider business mailing address

313 WAVELAND RD
CATONSVILLE MD
21228-4221
US

V. Phone/Fax

Practice location:
  • Phone: 410-660-7274
  • Fax:
Mailing address:
  • Phone: 410-660-7274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: LYNNE PETERS-KESSLER
Title or Position: THERAPIST
Credential: LCPC
Phone: 443-695-9850