Organization
LITTLE ISLAND COUNSELING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER NORVILLE LCSW-C (OWNER)
(910) 367-5355
Entity
Organization
Contact information
Practice address
5100 BUCKEYSTOWN PIKE STE 250, FREDERICK, MD 21704-8344
(910) 367-5355
Mailing address
5100 BUCKEYSTOWN PIKE STE 250, FREDERICK, MD 21704-8344
(910) 367-5355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114577137
NPI 1
—
Enumeration date
01/09/2022
Last updated
11/16/2024
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