Organization
HOLISTIC, RE-EDUCATION, & EMPOWERING SERICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY D DAVIS LCPC (OWNER, MENTAL HEALTH THERAPIST)
(202) 540-0718
Entity
Organization
Contact information
Practice address
2305 FAIRHAVEN LANE, CROFTON, MD 21114
(202) 540-0718
Mailing address
2305 FAIRHAVEN LANE, CROFTON, MD 21114
(202) 540-0718
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC7042
MD
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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