institution
Lifestyle Innovations Counseling And Consulting Inc
Adolescent and Children Mental Health Clinic/Center in Brandywine, Maryland
NPI 1376037366

Lifestyle Innovations Counseling And Consulting Inc is an Adolescent and Children Mental Health Clinic/Center based in Brandywine, MD and is specialized in Adolescent and Children Mental Health. Lifestyle Innovations Counseling And Consulting Inc practices in Brandywine, MD. The NPI Number for Lifestyle Innovations Counseling And Consulting Inc is 1376037366 and holds a License No. (Maryland).

The current practice location address for Lifestyle Innovations Counseling And Consulting Inc is 15912 Crain Hwy Ste B125, Brandywine, MD and can be reached out via phone at 202-627-9892.

Location: 15912 Crain Hwy Ste B125, Brandywine, MD, 20613-8035
institution
Provider Profile Details
NPI Number
1376037366
Provider Name
Lifestyle Innovations Counseling And Consulting Inc
Credential
Provider Entity Type
Organization
Address
15912 Crain Hwy Ste B125, Brandywine, MD, 20613-8035
Phone Number
202-627-9892
Fax Number
Provider Enumeration Date
06/21/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
221208100 05 MD
institution
Provider Business Practice Location Address Details
Address
15912 Crain Hwy Ste B125
City
State
Zip
20613-8035
Phone Number
202-627-9892
Fax Number
person
Provider Business Mailing Address Details
Address
15912 Crain Hwy Ste B125
City
State
Zip
20613-8035
Phone Number
202-627-9892
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
(Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
(Maryland)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
(Maryland)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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