Organization
A VILLAGE COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA TAYLOR LCSW-C (CLINICAL MANAGER)
(240) 438-3262
Entity
Organization
Contact information
Practice address
11012 SPRING LAKE DR, MITCHELLVILLE, MD 20721-2924
(301) 808-8640
Mailing address
11012 SPRING LAKE DR, MITCHELLVILLE, MD 20721-2924
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/02/2012
Last updated
04/26/2012
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