Organization
ORIGINS COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYANNA SEIDE LCPC (PSYCHOTHERAPIST)
(240) 360-1917
Entity
Organization
Contact information
Practice address
6710 OXON HILL RD, SUITE 210, OXON HILL, MD 20745-1117
(240) 360-1917
Mailing address
6710 OXON HILL RD, SUITE 210, OXON HILL, MD 20745-1117
(240) 360-1917
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC5727
MD
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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