Organization
SMR COUNSELING SERVICES, LLC
Active
Other names
Dr. Shauna Moore Reynolds
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUNA MOORE REYNOLDS ED.D, LCP, LCPC, NCC (OWNER, DIRECTOR)
(240) 389-1487
Entity
Organization
Contact information
Practice address
11785 BELTSVILLE DR STE 120, CALVERTON, MD 20705-3121
(240) 389-1487
Mailing address
PO BOX 275, BURTONSVILLE, MD 20866-0275
(240) 389-1487
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC4866
MD
101Y00000X
Counselor
PCR14291
DC
101YM0800X
Mental Health Counselor
LC4866
MD
101YM0800X
Mental Health Counselor
PCR14291
DC
101YP2500X
Professional Counselor
Primary
LC4866
MD
101YP2500X
Professional Counselor
PCR14291
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0647632P0000
—
MD
05
—
889048000
—
MD
Enumeration date
06/17/2013
Last updated
02/16/2024
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