Healthcare Provider Details
I. General information
NPI: 1205716099
Provider Name (Legal Business Name): DOT'S THERAPEUTIC COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/03/2025
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1401 MERCANTILE LN STE 500-P
LARGO MD
20774-4301
US
IV. Provider business mailing address
1401 MERCANTILE LN STE 500-P
LARGO MD
20774-4301
US
V. Phone/Fax
- Phone: 240-903-5608
- Fax:
- Phone: 240-903-5608
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
PEGGY
DARLENE
MACLIN
Title or Position: PROFESSIONAL COUNSELOR
Credential: LCPC
Phone: 301-440-1918