# SKYEIA HOLISTIC SERVICES, LLC

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

## Provider details

- **NPI number:** 1356515167
- **Authorized official:** MELISA M CARRICO LCPC (CEO)
- **Authorized official phone:** (240) 321-2487

## Contact information

- **Practice address:** 315 DAWSON AVE STE C, OAKLAND, MD 21550-5113
- **Practice address phone:** (240) 321-2487
- **Practice address fax:** (301) 334-5922
- **Mailing address:** 1138 EAGLE ROCK RD, OAKLAND, MD 21550-6825
- **Mailing address phone:** (240) 321-2487
- **Mailing address fax:** (301) 334-5922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LC1331 | MD | Yes |

## Other

- **Enumeration date:** 04/14/2008
- **Last updated:** 12/16/2010