Healthcare Provider Details

I. General information

NPI: 1235095993
Provider Name (Legal Business Name): UNDERWOOD COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9671 BOTHWELL LN
FREDERICK MD
21704-7887
US

IV. Provider business mailing address

9671 BOTHWELL LN
FREDERICK MD
21704-7887
US

V. Phone/Fax

Practice location:
  • Phone: 240-712-4215
  • Fax:
Mailing address:
  • Phone: 240-712-4215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MARGARET UNDERWOOD
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LCPC
Phone: 240-712-4215