Organization
TEAL FIRE COUNSELING & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILLIAN M SYLVESTER PH.D., LCPC (OWNER)
(410) 707-8527
Entity
Organization
Contact information
Practice address
10632 LITTLE PATUXENT PKWY STE 343, COLUMBIA, MD 21044-6239
(410) 707-8527
(410) 997-7878
Mailing address
P.O. BOX 6641, COLUMBIA, MD 21045
(410) 707-8527
(410) 997-7878
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC3728
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038381300
—
MD
Enumeration date
04/16/2018
Last updated
04/16/2018
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