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Southern Maryland Counseling, LLC

Organization Active NPI Professional Counselor · Lusby, MD

NPI 1609280668 · NPPES record last updated Jun 28, 2024

Key facts

NPI
1609280668
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
License
LC1273 (MD)
Legal business name
SOUTHERN MARYLAND COUNSELING, LLC
Practice address
1295 Hollidge Rd
Lusby, MD 20657-2682
Phone
(410) 231-2124
Fax
(410) 882-1079
NPI assigned
Jun 18, 2014
Organization subpart
Yes
Parent organization (as reported)
SOUTHERN MARYLAND COUNSELING LLC

Authorized official

Name
Diana Lynn Kraft, LCPC NPI 1154511749
Title
Managing Member
Phone
(410) 231-2124

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
Southern Maryland CNSL LLC (3 organizations share this tax ID)
Part of
Southern Maryland CNSL LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP		 101YP2500X LC1273 MD Yes

Addresses

Primary practice location

1295 Hollidge Rd
Lusby, MD 20657-2682

Mailing address

1295 Hollidge Rd
Lusby, MD 20657-2682
Phone (410) 231-2124

Other providers in Lusby, MD

All providers in Lusby, MD · Professional Counselor in Maryland

Sources for this page

Verify at the official NPI Registry.