Organization
CONNECT TO CARE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEITRA LATRICE FANT MA,NCC,LCPC,LPC (OWNER/CLINICIAN)
(703) 857-5354
Entity
Organization
Contact information
Practice address
120 WATERFRONT ST STE 420, OXON HILL, MD 20745-1122
(703) 857-5354
(571) 601-4607
Mailing address
120 WATERFRONT ST STE 420, OXON HILL, MD 20745-1122
(703) 857-5354
(571) 601-4607
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207319600
—
MD
Enumeration date
09/21/2020
Last updated
12/30/2025
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