EIKON PROFESSIONAL SERVICES (NPI# 1871540807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871540807 |
| Entity Type | Organization |
| Organization Name | EIKON PROFESSIONAL SERVICES |
| Practice Address |
9811 Mallard Dr Suite 219 Laurel MD 20708-3143 |
| Mailing Address |
8238 Imperial Dr Laurel MD 20708-1832 |
| Practice Telephone | 3013174702 |
| Practice Fax Number | 3014979493 |
| Mailing Telephone | 3013178982 |
| Mailing Fax Number | 3014979493 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SANDRA JEAN MCMILLIAN (PRESIDENT) |
| Authorized Official Telephone | 3013174702 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC1752 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BLUE CROSS & BLUE SHIELD | 744BEI | 01 |
| Street Address |
9811 MALLARD DR SUITE 219 |
| City | LAUREL |
| State | MD |
| Zip Code | 20708-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477533230 | Swapna Abhyankar | Specialist | 9811 Mallard Dr, Suite 109, Laurel, MD 20708-3143 | 2006-01-18 |
| 1851772032 | Augustus C. Dickens | Counselor | 9811 Mallard Dr, Laurel, MD 20708-3143 | 2015-06-14 |
| 1417377748 | Shannon M Hawk | Chiropractor | 9811 Mallard Dr, Ste 218, Laurel, MD 20708-3143 | 2014-04-25 |
| 1134461940 | Agas Medical Group, LLC | General Practice | 9811 Mallard Dr, Suite # 213, Laurel, MD 20708-3143 | 2013-03-19 |
| 1629334867 | Emily Catherine Skoda-mount | Pediatrics | 9811 Mallard Dr, Suite # 109, Laurel, MD 20708-3143 | 2012-04-02 |
| 1376823823 | Therapy @ 9811 Inc | Counselor | 9811 Mallard Dr, Suite 210/211, Laurel, MD 20708-3143 | 2011-08-27 |
| 1477886802 | Stephen R. Damm, M.d., P.a. | Dermatology | 9811 Mallard Dr, Suite 220, Laurel, MD 20708-3143 | 2009-09-17 |
| 1982878997 | Karenga R Lemmons, M.d., L.L.C. | Specialist | 9811 Mallard Dr, Ste 211, Laurel, MD 20708-3143 | 2008-04-22 |
| 1962674721 | Laurel Regional Chiropractic, LLC | Chiropractor | 9811 Mallard Dr, Suite 218, Laurel, MD 20708-3143 | 2008-04-01 |
| 1073647442 | Stephanie Wilks Perdue | Pediatrics | 9811 Mallard Dr, Suite 109, Laurel, MD 20708-3143 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880626 | Oak Healthcare Services LLC | Nurse Practitioner | 11601 Duckettown Road, Laurel, MD 20708 | 2020-08-05 |
| 1588287072 | Rebecca Sim | Social Worker | 14112 Bramble Court, Apt 101, Laurel, MD 20708 | 2020-05-19 |
| 1265082978 | Leslie Duncan | Nurse Practitioner | 12908 Golden Oak Dr, Laurel, MD 20708 | 2019-09-14 |
| 1043872310 | Josephine Edet | Driver | 8401 Snowden Loop Ct, Laurel, MD 20708 | 2019-07-07 |
| 1073083655 | Mamta Sampemane | Occupational Therapist | 14409 Greenview Drive Ste 102, Laurel, MD 20708 | 2018-11-27 |
| 1669950275 | Ngendap Tengen Coreen | Home Health Aide | 13009 Mistletoe Spring Rd Apt 516, Laurel, MD 20708 | 2018-08-06 |
| 1447737994 | Chelsey Nicole Garwood | Technician | 9614 Muirkirk Rd, Apt C166, Laurel, MD 20708 | 2018-07-26 |
| 1730665951 | Agnes Aka Nkafu | Home Health Aide | 9017 Contee Rd Apt 302, Laurel, MD 20708 | 2018-07-11 |
| 1568988756 | Olabisi Ntumngia | Home Health Aide | 8903 Ascot Lane, Apt 11, Laurel, MD 20708 | 2017-08-18 |
| 1376083014 | Amiable Home Health Inc. | Home Health | 10120 Bignonia Drive, Laurel, MD 20708 | 2017-02-28 |
| Find all providers in zip 20708 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467070755 | Teal Cole | Counselor | 8101 Sandy Spring Rd Ste 300-w17, Laurel, MD 20707-3596 | 2020-07-13 |
| 1013530245 | Femi Scott | Counselor | 9445 Fens Holw, Laurel, MD 20723-5734 | 2020-05-21 |
| 1437778370 | Elaine Oliver | Counselor | 11504 Jamestown Ct, Laurel, MD 20723-2054 | 2020-04-10 |
| 1225663016 | Marcus Mason | Counselor | 8173a Edge Rock Way, Laurel, MD 20724-6093 | 2020-03-11 |
| 1023642121 | Mayor and City Council of Laurel | Counselor | 422 Montgomery St, Laurel, MD 20707-4202 | 2020-02-27 |
| 1265079065 | Introspective Consultation, LLC | Counselor | 8548 Crooked Tree Ln, Laurel, MD 20724-2491 | 2019-11-30 |
| 1306480512 | Shariee Sims | Counselor | 7329 Split Rail Ln, Laurel, MD 20707-5357 | 2019-10-30 |
| 1710534532 | Geneva Boswell | Counselor | 12310 Cedarbrook Ln, Laurel, MD 20708-2423 | 2019-08-26 |
| 1457817090 | Roslyn L. Ashford | Counselor | 1515 Parker Dr, Laurel, MS 39440-1943 | 2019-02-19 |
| 1164990628 | Donna Farley | Counselor | 3208 Water Lily Ct, Laurel, MD 20724-2996 | 2018-11-02 |
| Find all providers in LAUREL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.