# A VILLAGE COUNSELING SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194097451
- **Authorized official:** TANYA TAYLOR LCSW-C (CLINICAL MANAGER)
- **Authorized official phone:** (240) 438-3262

## Contact information

- **Practice address:** 11012 SPRING LAKE DR, MITCHELLVILLE, MD 20721-2924
- **Practice address phone:** (301) 808-8640
- **Mailing address:** 11012 SPRING LAKE DR, MITCHELLVILLE, MD 20721-2924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2012
- **Last updated:** 04/26/2012