Eikon Professional Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC1752 Issued in MD

Legal business name

EIKON PROFESSIONAL SERVICES

Practice address

9811 Mallard Dr
Suite 219
Laurel, MD 20708-3143

Phone

(301) 317-4702

Fax

(301) 497-9493

NPI assigned

May 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Sandra Jean McMillian, LCPC

Title

President

Phone

(301) 317-4702

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871540807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8238 IMPERIAL DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081832",
            "telephone_number": "301-317-8982",
            "fax_number": "301-497-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DR",
            "address_2": "SUITE 219",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083143",
            "telephone_number": "301-317-4702",
            "fax_number": "301-497-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIKON PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCMILLIAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-317-4702",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "744BEI",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Leonard Ekane, RN
• Linda Obiageli Ekeinde

• Professional Counselor in Laurel, MD
• Providers in Laurel, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.