Healthcare Provider Details

I. General information

NPI: 1891326104
Provider Name (Legal Business Name): FOR US THERAPEUTICS COUNSELING & CONSULTING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2020
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4518 BEECH RD STE 230
TEMPLE HILLS MD
20748-6735
US

IV. Provider business mailing address

9036 FLORIN WAY
UPPER MARLBORO MD
20772-5240
US

V. Phone/Fax

Practice location:
  • Phone: 202-643-3592
  • Fax:
Mailing address:
  • Phone: 202-701-7144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LAKEITH SUTTON
Title or Position: CEO
Credential: LCSW-C
Phone: 202-701-7144