# DIVERSE EXPRESSIONS COUNSELING LLC

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

## Provider details

- **NPI number:** 1811679038
- **Authorized official:** STEPHANIE BILE OULATTA (OWNER)
- **Authorized official phone:** (240) 565-9484

## Contact information

- **Practice address:** 8721 PLANTATION LN STE 302, MANASSAS, VA 20110-8324
- **Practice address phone:** (571) 307-2324
- **Practice address fax:** (571) 569-4480
- **Mailing address:** 8721 PLANTATION LN STE 302, MANASSAS, VA 20110-8324
- **Mailing address phone:** (571) 307-2324
- **Mailing address fax:** (571) 569-4480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | Yes |
| 104100000X | Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2023
- **Last updated:** 10/04/2024
