Enlighten Therapeutic & Consulting Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ENLIGHTEN THERAPEUTIC & CONSULTING SERVICES, LLC

Practice address

46 Riverside Run Dr
Indian Head, MD 20640-2044

Phone

(301) 356-3818

NPI assigned

Apr 5, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Keyona Hall, LCPCNPI 1043720055

Title

Mental Health Therapist

Phone

(301) 356-3818

Specialties & licenses 1

Addresses

Practitioners 1

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

• Keyona R Hall, LCPC

  • Mental Health Counselor
  • Clinton, MD
  • NPI 1043720055
  NPD (past) Authorized official

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1043716178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 PALMER RD APT 14",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444674",
            "telephone_number": "301-356-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 RIVERSIDE RUN DR",
            "city": "INDIAN HEAD",
            "state": "MD",
            "postal_code": "206402044",
            "telephone_number": "301-356-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTEN THERAPEUTIC & CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KEYONA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "301-356-3818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryant Davis
• Cody C Davis, PA-C
• Dean Natale Del Favero, IDC
• Divine Physical Therapy & Pelvic Health
• Krista Nicole Moore Dubois, MD
• Edgar Antonio Escobar, PA
• Sara Faught, D.O
• John Joseph Feeley Jr.
• Shokitha Washington Flemmings
• Rebecca I Frank-Hogren, LCSW-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Indian Head, MD
• Providers in Indian Head, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.