Organization
SUNFLOWER BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MALINDA DIANN ROYSTER LCPC (OWNER)
(301) 638-7181
Entity
Organization
Contact information
Practice address
3195 OLD WASHINGTON RD, 227, WALDORF, MD 20602-3201
(301) 638-7181
(301) 638-7182
Mailing address
3195 OLD WASHINGTON RD, SUITE 227, WALDORF, MD 20602-3201
(301) 638-7181
(301) 638-7182
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC0773
MD
1041C0700X
Clinical Social Worker
12510
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620400700
—
MD
01
—
678917
MARYLANDVALUEOPTIONS
MD
Enumeration date
06/06/2012
Last updated
06/06/2012
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