Organization
LIFESTYLE INNOVATIONS COUNSELING AND CONSULTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREANA YANCEY LCSW-C (CEO/THERAPIST)
(202) 627-9892
Entity
Organization
Contact information
Practice address
15912 CRAIN HWY STE B125, BRANDYWINE, MD 20613-8035
(202) 627-9892
Mailing address
15912 CRAIN HWY STE B125, BRANDYWINE, MD 20613-8035
(202) 627-9892
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
MD
261QM0850X
Adult Mental Health Clinic/Center
—
MD
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221208100
—
MD
Enumeration date
06/21/2018
Last updated
06/21/2018
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