Healthcare Provider Details

I. General information

NPI: 1912411323
Provider Name (Legal Business Name): APRES COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2017
Last Update Date: 11/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7902 BELAIR RD
NOTTINGHAM MD
21236-3707
US

IV. Provider business mailing address

128 BOWER LN
FOREST HILL MD
21050-1749
US

V. Phone/Fax

Practice location:
  • Phone: 443-938-4401
  • Fax: 410-661-4939
Mailing address:
  • Phone: 443-938-4401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LEONID CHERNYAKHOVSKY
Title or Position: MANAGING PARTNER
Credential: LCSW-C
Phone: 443-938-4401