# AYA BEHAVIORAL HEALTH LLC

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

## Provider details

- **NPI number:** 1225853484
- **Authorized official:** DR. SAMANTHA KNOX LPC (OWNER/ CLINICIAN)
- **Authorized official phone:** (202) 716-1201

## Contact information

- **Practice address:** 1401 MERCANTILE LN STE 500A, LARGO, MD 20774-4301
- **Practice address phone:** (202) 746-5838
- **Mailing address:** 1601 LORTON AVE, CAPITOL HEIGHTS, MD 20743-5257
- **Mailing address phone:** (202) 716-1201

## Taxonomy

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

## Other

- **Enumeration date:** 11/21/2024
- **Last updated:** 11/21/2024