Organization
DIVERSIFIED LIFESTYLE SERVICES
Active
Parent organization
LANCASTER, FRAZIER, AND ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LANCASTER, FRAZIER, AND ASSOCIATES, LLC
Authorized official
DR. ANTOINETTE LANCASTER EDD, LCPC, NCC, MAC (EXECUTIVE DIRECTOR)
(202) 239-5563
Entity
Organization
Contact information
Practice address
2255 CRAIN HWY STE 102, WALDORF, MD 20601-3186
(301) 804-8279
(240) 204-8153
Mailing address
137 NATIONAL PLAZA, SUITE 300, NATIONAL HARBOR, MD 20745
(301) 804-8279
(240) 204-8153
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
12/10/2018
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