Organization
PRIDE OF NYLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE PRICE LCPC-S (OWNER-THERAPISTS)
(202) 375-1024
Entity
Organization
Contact information
Practice address
11720 BELTSVILLE DR # 500-M2, BELTSVILLE, MD 20705-3166
(202) 375-1024
Mailing address
11720 BELTSVILLE DR STE 500-M2, BELTSVILLE, MD 20705-3166
(202) 375-1024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/26/2020
Last updated
06/16/2023
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