SOUTHERN MARYLAND COUNSELING, LLC (NPI# 1093129058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093129058 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MARYLAND COUNSELING, LLC |
| Practice Address |
43288 Joy Ln Hollywood MD 20636-2608 |
| Mailing Address |
1295 Hollidge Rd Lusby MD 20657-2682 |
| Practice Telephone | 2404723522 |
| Practice Fax Number | 4108821079 |
| Mailing Telephone | 4102312124 |
| Mailing Fax Number | 4108821079 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |
| Authorized Official Name | DIANA LYNNE KRAFT (MANAGING MEMBER) |
| Authorized Official Telephone | 4102312124 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHERN MARYLAND COUNSELING, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC1273 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477991594 | Southern Maryland Counseling, LLC | Counselor | 1295 Hollidge Rd, Lusby, MD 20657-2682 | 2013-06-11 |
| 1609280668 | Southern Maryland Counseling, LLC | Counselor | 1295 Hollidge Rd, Lusby, MD 20657-2682 | 2014-06-18 |
| Street Address |
43288 JOY LN |
| City | HOLLYWOOD |
| State | MD |
| Zip Code | 20636-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538246871 | Carol Marcy | Psychologist | 43288 Joy Ln, Hollywood, MD 20636-2608 | 2006-11-01 |
| 1942441951 | S Collicott Incorporated | Psychologist | 43288 Joy Ln, Hollywood, MD 20636-2608 | 2009-03-20 |
| 1740434729 | Carol Marcy, Ph.d., LLC. | Psychologist | 43288 Joy Ln, Hollywood, MD 20636-2608 | 2008-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841708427 | Lisa Early | Case Manager/Care Coordinator | 24077 John Cameron Way, Hollywood, MD 20636 | 2018-01-17 |
| 1326439365 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 24288 Three Notch Rd., Hollywood, MD 20636 | 2015-02-12 |
| 1972810612 | Kathleen Latona Boyles | Pharmacist | 24288 Three Notch Road, Hollywood, MD 20636 | 2010-09-01 |
| 1386825271 | Vijaya Guduri | Internal Medicine | 24035 Three Notch Road, Shah Associates Md LLC, Hollywood, MD 20636 | 2007-11-19 |
| 1245397678 | St Johns Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 24288 Three Notch Rd, Hollywood, MD 20636 | 2007-01-03 |
| 1194824755 | Julie Wilkening | Chiropractor | 24351 Mervell Dean Rd #115, Hollywood, MD 20636 | 2006-09-21 |
| 1225134281 | Mary Rice Hughes | Registered Nurse | 44101 Airport View Dr., Hollywood, MD 20636 | 2006-09-16 |
| 1376654194 | Suzanne Janis Pelz | Counselor | 44101 Airport View Drive, Hollywood, MD 20636 | 2006-08-31 |
| 1831406883 | Hanna Kristina Dennis | Physician Assistant | 24035 Three Notch Rd, Hollywood, MD 20636 | 2010-09-10 |
| 1750549010 | Iram A Khan | Internal Medicine | 24035 Three Notch Road, Hollywood, MD 20636 | 2008-05-22 |
| Find all providers in zip 20636 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144658873 | Latoya Brandye Burnyce Adams-rodriguez | Counselor | 43469 Greg St, Hollywood, MD 20636-3304 | 2013-10-15 |
| 1710292875 | Roxana Sonis | Counselor | 2806 N 46th Ave Apt D233, Hollywood, FL 33021-2975 | 2010-08-13 |
| 1215004098 | Dee Hann Morrison | Counselor | 7860 Oakville Rd, Hollywood, SC 29449-5949 | 2006-11-29 |
| 1407244635 | Carmene Vazquez LLC | Counselor | 3595 Sheridan St, Suite 105, Hollywood, FL 33021-3657 | 2014-12-22 |
| 1053647396 | Toby Barron | Counselor | 1625 Schrader Blvd, Hollywood, CA 90028-6213 | 2009-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780412 | Christina Johnson | Counselor | 5532 Dartmouth St, Churchton, MD 20733-9615 | 2020-11-08 |
| 1780285023 | Wendy L Gill | Counselor | 2714 Egret Way, Frederick, MD 21701-1912 | 2020-11-03 |
| 1609476399 | Sarah Elaine Rybak | Counselor | 6517 Shenandoah Dr, Eldersburg, MD 21784-8220 | 2020-10-30 |
| 1043810872 | Jessica Ann Piazza | Counselor | 5004 Honeygo Center Dr Ste 102-259, Perry Hall, MD 21128-8963 | 2020-10-30 |
| 1992305205 | Jacqueline Justiniano Myers | Counselor | 7161 Columbia Gateway Dr Ste D, Columbia, MD 21046-2617 | 2020-10-27 |
| 1821698242 | Pride of Nyla, LLC | Counselor | 5557 Baltimore Ave Ste 500-1265, Hyattsville, MD 20781-1922 | 2020-10-26 |
| 1407453939 | Marissa Block LLC | Counselor | 541 Allegheny Ave, Towson, MD 21204-4233 | 2020-10-07 |
| 1770180838 | Legacy Family Services, LLC | Counselor | 11415 Old Pond Dr, Glenn Dale, MD 20769-9154 | 2020-10-01 |
| 1679170724 | Joseph E Bullock Jr. | Counselor | 8757 Thornbrook Dr, Odenton, MD 21113-3409 | 2020-10-01 |
| 1073120549 | Jacquean Lynette Kosh | Counselor | 711 Harry S Truman Dr Apt 210, Largo, MD 20774-2095 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.