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Organization

STAR THERAPEUTIC SERVICES & CONSULTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATEASHA JOHNSON LCSW-C, LICSW, LCSW (FOUNDER/CEO)
(301) 818-2456
Entity
Organization

Contact information

Practice address
401 POST OFFICE RD, WALDORF, MD 20602-2738
(301) 818-2456
Mailing address
401 POST OFFICE RD STE 101, WALDORF, MD 20602-2738
(301) 818-2456

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
03/19/2026
Last updated
03/19/2026
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