Organization
ENLIGHTEN THERAPEUTIC & CONSULTING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEYONA HALL LCPC (MENTAL HEALTH THERAPIST)
(301) 356-3818
Entity
Organization
Contact information
Practice address
46 RIVERSIDE RUN DR, INDIAN HEAD, MD 20640-2044
(301) 356-3818
Mailing address
920 PALMER RD APT 14, FORT WASHINGTON, MD 20744-4674
(301) 356-3818
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
05/31/2019
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