NPI Code Details Logo

NPI 1558287854

NPI 1558287854 : PERCHED PATH COUNSELING, LLC : HAGERSTOWN, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1558287854
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PERCHED PATH COUNSELING, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/29/2026
-----------------------------------------------------
    Last Update Date     |    06/29/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5 PUBLIC SQ SUITE 301 UNIT 66
-----------------------------------------------------
    City                 |    HAGERSTOWN
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21740-5597
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    240-310-9226
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5 PUBLIC SQ SUITE 301 UNIT 66
-----------------------------------------------------
    City                 |    HAGERSTOWN
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21740-5597
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    240-310-9226
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MENTAL HEALTH THERAPIST
-----------------------------------------------------
    Name                 |    MS. TOBY A LONG 
-----------------------------------------------------
    Credential           |    LCPC
-----------------------------------------------------
    Telephone            |    240-310-9226
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.