MEDICARE: UNITED COUNSELING AND SUPPORT 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	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699265694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED COUNSELING AND SUPPORT SERVICES LLC

Provider Business Mailing Address
First Line	:	9701 APOLLO DR STE 100
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-4785
Country	:	US
Telephone Number	:	240-388-1763
Fax Number	:

Provider Business Practice Location Address
First Line	:	9701 APOLLO DR STE 100 AND 330 20774
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-4783
Country	:	US
Telephone Number	:	240-388-1763
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	CHRISTINE DOMINIQUE WATKINS
Credential	:
Telephone Number	:	240-388-1763

Provider Enumeration Date	:	05/15/2018
Last Update Date	:	02/04/2025

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