Organization
DJLS THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOY ROSHAWN HART LCSW-C (OWNER)
(571) 236-7012
Entity
Organization
Contact information
Practice address
14300 GALLANT FOX LANE, SUITE 115, BOWIE, MD 20715
(571) 236-7012
Mailing address
9215 DEER VILLAGE DRIVE, LARUEL, MD 20723
(571) 236-7012
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20142
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080383900
—
MD
01
—
365785
PROVIDER TRANSACTION ACCESS NUMBER
MD
Enumeration date
05/13/2015
Last updated
07/13/2019
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