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Organization
SACRED MAMA, LLC
Active
Organization
SACRED MAMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY KANSINALLY LCSW-C (OWNER)
(240) 887-8071
Entity
Organization
Contact information
Practice address
5000 THAYER CTR STE C, OAKLAND, MD 21550-1139
(240) 887-8071
Mailing address
5000 THAYER CTR STE C, OAKLAND, MD 21550-1139
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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