MEDICARE: ARCHWAY COUNSELING SERVICES LLC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1255046538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCHWAY COUNSELING SERVICES LLC

Provider Business Mailing Address
First Line	:	1386 ALISON CT
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21158-2741
Country	:	US
Telephone Number	:	717-659-6302
Fax Number	:

Provider Business Practice Location Address
First Line	:	181 E MAIN ST STE 4
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-6195
Country	:	US
Telephone Number	:	443-487-6681
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	MR. CHRISTOPHER D STEPHENS
Credential	:	LCPC, CAC-AD
Telephone Number	:	717-659-6302

Provider Enumeration Date	:	01/20/2023
Last Update Date	:	04/16/2025

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