| Lifestyle Innovations Counseling And Consulting Inc | |
|
15912 Crain Hwy Ste B125 Brandywine MD 20613-8035 | |
| (202) 627-9892 | |
| Not Available |
| Full Name | Lifestyle Innovations Counseling And Consulting Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 15912 Crain Hwy Ste B125, Brandywine, Maryland |
| Authorized Official Name and Position | Andreana Yancey (CEO/THERAPIST) |
| Authorized Official Contact | 2026279892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestyle Innovations Counseling And Consulting Inc 15912 Crain Hwy Ste B125 Brandywine MD 20613-8035 Ph: (202) 627-9892 | Lifestyle Innovations Counseling And Consulting Inc 15912 Crain Hwy Ste B125 Brandywine MD 20613-8035 Ph: (202) 627-9892 |
| NPI Number | 1376037366 |
|---|---|
| Provider Enumeration Date | 06/21/2018 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376037366 | NPI | - | NPPES |
| 221208100 | Medicaid | MD |
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