Organization
SUCCESSFUL LIFE COACHING AND COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI C BURROUGH MA, LCPC, LAPC (OWNER)
(240) 221-1617
Entity
Organization
Contact information
Practice address
11510 PEGASUS CT, UPPER MARLBORO, MD 20772-7823
(240) 221-1617
Mailing address
11510 PEGASUS CT, UPPER MARLBORO, MD 20772-7823
(240) 221-1617
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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