| Diversified Lifestyle Services | |
|
2255 Crain Hwy Ste 102 Waldorf MD 20601-3186 | |
| (301) 804-8279 | |
| (240) 204-8153 |
| Full Name | Diversified Lifestyle Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2255 Crain Hwy Ste 102, Waldorf, 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 137 National Plaza Suite 300 National Harbor MD 20745 Ph: (301) 804-8279 | Diversified Lifestyle Services 2255 Crain Hwy Ste 102 Waldorf MD 20601-3186 Ph: (301) 804-8279 |
| NPI Number | 1255814125 |
|---|---|
| Provider Enumeration Date | 09/07/2018 |
| Last Update Date | 12/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255814125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Outreach Recovery Ii, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11340 Pembrooke Sq Ste 214, Waldorf, MD 20603 Phone: 877-889-4829 | |
Devine Grace Behavioral Health Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 High St, Waldorf, MD 20602 Phone: 240-882-0536 | |
Psychotherapeutic Services Of Southern Maryland Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Paul Mellon Ct, Suite 19, 20, Waldorf, MD 20602 Phone: 301-638-7787 Fax: 301-638-7768 | |
Jennifer Clancy Birth Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4666 Leonardtown Rd, Waldorf, MD 20601 Phone: 856-392-1646 | |
D Allen And Davis Community Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2670 Crain Hwy Ste 401, Waldorf, MD 20601 Phone: 240-416-6836 Fax: 240-419-2495 | |
H.o.p.e Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3261 Old Washington Rd Ste 3021, Waldorf, MD 20602 Phone: 240-579-5658 | |
Mendelis Mental Health Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11315 Pembrooke Sq Ste 112, Waldorf, MD 20603 Phone: 301-638-5001 Fax: 301-638-5003 |