MEDICARE: THE ARDNAS COUNSELING GROUP, 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	261QM0850X	Adult Mental Health Clinic/Center
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1366943862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ARDNAS COUNSELING GROUP, LLC

Provider Business Mailing Address
First Line	:	14410 OLD MILL RD STE 101
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-2846
Country	:	US
Telephone Number	:	301-574-5500
Fax Number	:

Provider Business Practice Location Address
First Line	:	14410 OLD MILL RD STE 101
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-2846
Country	:	US
Telephone Number	:	301-574-5500
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SANDRA D. CHEW
Credential	:	EDD, LCPC, LPC
Telephone Number	:	301-574-5500

Provider Enumeration Date	:	02/21/2018
Last Update Date	:	05/14/2020

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