| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANASTASIA KOTSAKIS | 1588227037 | 2023-03-12 |
Anastasia Kotsakis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1588227037. Registration indicates Anastasia Kotsakis is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Anastasia Kotsakis LCPC |
| Practice Office Address | 4104 MAPLE RD MORNINGSIDE, MD US |
| Practice Office Telephone | 2407956595 |
| Mailing Address | 4104 MAPLE RD MORNINGSIDE, MD 207463512 US |
| Business Telephone | 2407956595 |
| Code | Practice | License No State |
|---|---|---|
| 101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | LC11505
MD |
| 209475400 | MEDICAID | MD |