Healthcare Provider Details

I. General information

NPI: 1558287854
Provider Name (Legal Business Name): PERCHED PATH COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 PUBLIC SQ SUITE 301 UNIT 66
HAGERSTOWN MD
21740-5597
US

IV. Provider business mailing address

5 PUBLIC SQ SUITE 301 UNIT 66
HAGERSTOWN MD
21740-5597
US

V. Phone/Fax

Practice location:
  • Phone: 240-310-9226
  • Fax:
Mailing address:
  • Phone: 240-310-9226
  • 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: MS. TOBY A LONG
Title or Position: MENTAL HEALTH THERAPIST
Credential: LCPC
Phone: 240-310-9226