Organization
FAITH AND HEALING COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEESHA VINES MA, LCPC, NCC (OWNER/THERAPIST)
(240) 356-1001
Entity
Organization
Contact information
Practice address
6716 FLYING SQUIRREL CT, WALDORF, MD 20603
(240) 356-1001
Mailing address
173 SAINT PATRICKS DR STE 104, WALDORF, MD 20603-5530
(240) 356-1001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
873320100
—
MD
Enumeration date
05/05/2021
Last updated
10/29/2024
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