| Self Authentically Forever Evolving Counseling Services, Llc | |
|
6201 Greenbelt Rd Ste L4 Berwyn Heights MD 20740-2357 | |
| (240) 965-7262 | |
| (240) 553-7177 |
| Full Name | Self Authentically Forever Evolving Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6201 Greenbelt Rd Ste L4, Berwyn Heights, Maryland |
| Authorized Official Name and Position | Barry A. Grant (CO-OWNER) |
| Authorized Official Contact | 9739432455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self Authentically Forever Evolving Counseling Services, Llc 6201 Greenbelt Rd Ste L4 Berwyn Heights MD 20740-2357 Ph: (240) 965-7262 | Self Authentically Forever Evolving Counseling Services, Llc 6201 Greenbelt Rd Ste L4 Berwyn Heights MD 20740-2357 Ph: (240) 965-7262 |
| NPI Number | 1710562889 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 03/10/2021 |
| Certification Date | 03/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710562889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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