Healthcare Provider Details

I. General information

NPI: 1215595111
Provider Name (Legal Business Name): THERAPEUTIC CONSULT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2019
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 EAST ALL SAINTS STREET
FREDERICK MD
21701
US

IV. Provider business mailing address

47 EAST ALL SAINTS STREET
FREDERICK MD
21701
US

V. Phone/Fax

Practice location:
  • Phone: 301-693-5670
  • Fax:
Mailing address:
  • Phone: 301-693-5670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: LAURIE M SHERMAN
Title or Position: CEO/CLINICAL SOCIAL WORKER
Credential: LCSW-C
Phone: 301-963-5670