| Diversified Lifestyle Services | |
|
6710 Oxon Hill Rd Ste 10 Oxon Hill MD 20745-1117 | |
| (301) 804-8279 | |
| (240) 204-8153 |
| Full Name | Diversified Lifestyle Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6710 Oxon Hill Rd Ste 10, Oxon Hill, Maryland |
| Authorized Official Name and Position | Antoinette Lancaster (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2022395563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversified Lifestyle Services 6710 Oxon Hill Rd Ste 10 Oxon Hill MD 20745-1117 Ph: (301) 804-8279 | Diversified Lifestyle Services 6710 Oxon Hill Rd Ste 10 Oxon Hill MD 20745-1117 Ph: (301) 804-8279 |
| NPI Number | 1619448149 |
|---|---|
| Provider Enumeration Date | 12/10/2018 |
| Last Update Date | 12/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619448149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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