Healthcare Provider Details

I. General information

NPI: 1023973757
Provider Name (Legal Business Name): INTEGRITY COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16031 COMPRINT CIR
GAITHERSBURG MD
20877-1320
US

IV. Provider business mailing address

16031 COMPRINT CIR
GAITHERSBURG MD
20877-1320
US

V. Phone/Fax

Practice location:
  • Phone: 240-483-3989
  • Fax:
Mailing address:
  • Phone: 240-483-3989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: AMERICA MENCOS CABALLERO
Title or Position: OWNER
Credential: LCPC
Phone: 240-483-3989