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Organization

ENLIGHTEN THERAPEUTIC & CONSULTING SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEYONA HALL LCPC (MENTAL HEALTH THERAPIST)
(301) 356-3818
Entity
Organization

Contact information

Practice address
2 POST OFFICE RD STE 1B, WALDORF, MD 20602-2726
(301) 356-3818
(240) 250-5521
Mailing address
2 POST OFFICE RD STE 1B, WALDORF, MD 20602-2726
(301) 356-3818
(240) 250-5521

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
10/24/2019
Last updated
11/10/2025
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