Organization
GREEN CIRCLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATONIA LAFFITTE LPC, LCPC, ACS (RESIDENT AGENT)
(301) 485-5259
Entity
Organization
Contact information
Practice address
7050 CHESAPEAKE RD STE 104, HYATTSVILLE, MD 20784-2345
(301) 485-5259
(866) 473-2699
Mailing address
4609 PENZANCE PL, UPPER MARLBORO, MD 20772-6923
(301) 485-5259
(866) 473-0699
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PRC14938
DC
Other
Enumeration date
07/17/2017
Last updated
10/13/2021
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