| Southern Maryland Counseling, Llc | |
|
43288 Joy Ln Hollywood MD 20636-2608 | |
| (240) 472-3522 | |
| (410) 882-1079 |
| Full Name | Southern Maryland Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 43288 Joy Ln, Hollywood, Maryland |
| Authorized Official Name and Position | Diana Lynne Kraft (MANAGING MEMBER) |
| Authorized Official Contact | 4102312124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Maryland Counseling, Llc 1295 Hollidge Rd Lusby MD 20657-2682 Ph: (410) 231-2124 | Southern Maryland Counseling, Llc 43288 Joy Ln Hollywood MD 20636-2608 Ph: (240) 472-3522 |
| NPI Number | 1093129058 |
|---|---|
| Provider Enumeration Date | 06/18/2014 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093129058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC1273 (Maryland) | Primary |
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