MEDICARE: DISTRICT HEIGHTS FAMILY & YOUTH SERVICES BUREAU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1063827061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISTRICT HEIGHTS FAMILY & YOUTH SERVICES BUREAU

Provider Business Mailing Address
First Line	:	6421 ATWOOD ST
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-1345
Country	:	US
Telephone Number	:	301-336-7600
Fax Number	:	301-499-2121

Provider Business Practice Location Address
First Line	:	6421 ATWOOD ST
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-1345
Country	:	US
Telephone Number	:	301-336-7600
Fax Number	:	304-499-2121

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KATRINA EMERSON
Credential	:	LCPC
Telephone Number	:	301-336-7600

Provider Enumeration Date	:	06/27/2014
Last Update Date	:	02/18/2026

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Directions to “DISTRICT HEIGHTS FAMILY & YOUTH SERVICES BUREAU ” Practice Location

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