Healthcare Provider Details

I. General information

NPI: 1972611366
Provider Name (Legal Business Name): CATOCTIN COUNSELING CENTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 E WASHINGTON ST
HAGERSTOWN MD
21740-5721
US

IV. Provider business mailing address

228 E WASHINGTON ST
HAGERSTOWN MD
21740-5721
US

V. Phone/Fax

Practice location:
  • Phone: 301-745-6687
  • Fax: 301-739-0041
Mailing address:
  • Phone: 301-745-6687
  • Fax: 301-739-0041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateMD

VIII. Authorized Official

Name: LAWRENCE R STOUTER
Title or Position: DIRECTOR, THERAPIST
Credential: LCPC
Phone: 301-745-6687