# LANTERN THERAPEUTIC SERVICES, INC

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

## Provider details

- **NPI number:** 1952724205
- **Authorized official:** MS. KAREN JONES LCPC (CLINICAL DIRECTOR/ CEO)
- **Authorized official phone:** (240) 607-2756

## Contact information

- **Practice address:** 11680 DOOLITTLE DR, SUITE 111, WALDORF, MD 20602-3801
- **Practice address phone:** (240) 607-2756
- **Practice address fax:** (240) 607-2776
- **Mailing address:** 1282 SMALLWOOD DR W, SUITE 507, WALDORF, MD 20603-4732
- **Mailing address phone:** (240) 607-2756
- **Mailing address fax:** (240) 607-2776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2014
- **Last updated:** 10/05/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 420333000 | — | MD |