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Leota Lifestar Llc
Counselor in Frederick, Maryland
NPI 1598085011

Leota Lifestar Llc is a Counselor based in Frederick, MD. Leota Lifestar Llc practices in Frederick, MD. The NPI Number for Leota Lifestar Llc is 1598085011 and holds a License No. (Maryland).

The current practice location address for Leota Lifestar Llc is 75 Thomas Johnson Dr, Frederick, MD and can be reached out via phone at 240-405-9059 and via fax at 443-283-4038.

Location: 75 Thomas Johnson Dr, Frederick, MD, 21702-4895
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598085011
Provider Name
Leota Lifestar Llc
Credential
Provider Entity Type
Organization
Address
75 Thomas Johnson Dr, Frederick, MD, 21702-4895
Phone Number
240-405-9059
Fax Number
443-283-4038
Provider Enumeration Date
06/07/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
75 Thomas Johnson Dr
City
Frederick
State
Maryland
Zip
21702-4895
Phone Number
240-405-9059
Fax Number
443-283-4038
person
Provider Business Mailing Address Details
Address
75 Thomas Johnson Dr
City
Frederick
State
Maryland
Zip
21702-4895
Phone Number
240-405-9059
Fax Number
443-283-4038
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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