Diversified Treatment Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC3460 Issued in MD

Legal business name

DIVERSIFIED TREATMENT SERVICES LLC

Practice address

10104 Senate Dr
Suite 228
Lanham, MD 20706-4392

Phone

(301) 577-4920

Fax

(301) 577-4940

NPI assigned

Sep 2, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alphonso Lewis

Title

Executive Director

Phone

(301) 577-4920

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracey Pauls, LCPC

  • Professional Counselor
  • Lanham, MD
  • NPI 1639617566
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1003216656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10104 SENATE DR",
            "address_2": "SUITE 228",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064392",
            "telephone_number": "301-577-4920",
            "fax_number": "301-577-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10104 SENATE DR",
            "address_2": "SUITE 228",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064392",
            "telephone_number": "301-577-4920",
            "fax_number": "301-577-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED TREATMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ALPHONSO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-577-4920"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "664315",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darnell F Dinkins
• Drew A Dinkins
• Tricia Dione Enongene
• Claire Dipiero, PAC
• District Healthcare & Janitorial Supplies, Inc.
• Diversity Behavioral Health Services
• Diversity Behavioral Health Services
• Divine Hands Heathcare Services Inc
• Divine Health Care Services
• Divine Health Care Services, Inc.

• Professional Counselor in Lanham, MD
• Providers in Lanham, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.