Self Authentically Forever Evolving Counseling Services, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

SELF AUTHENTICALLY FOREVER EVOLVING COUNSELING SERVICES, LLC

Practice address

6201 Greenbelt Rd Ste L4
Berwyn Heights, MD 20740-2357

Phone

(240) 965-7262

Fax

(240) 553-7177

NPI assigned

Mar 10, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Barry A. Grant, MHS, CAC-ADNPI 1295301661

Title

Co-Owner

Phone

(973) 943-2455

Specialties & licenses 1

Addresses

Other names 1

• S.A.F.E. Counseling Services, LLC Other name

Practitioners 1

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

• Barry Allen Grant

  • Addiction (Substance Use Disorder) Counselor
  • Berwyn Heights, MD
  • NPI 1295301661
  NPD Authorized official

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1710562889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENBELT RD STE L4",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402357",
            "telephone_number": "240-965-7262",
            "fax_number": "240-553-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 GREENBELT RD STE L4",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402357",
            "telephone_number": "240-965-7262",
            "fax_number": "240-553-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF AUTHENTICALLY FOREVER EVOLVING COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "973-943-2455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHS, CAC-AD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S.A.F.E. Counseling Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erica Reed, MSW
• Norma Meliza Rosa
• Robert Arnold Rovner, PH.D.
• S.a.F.E. Counseling Services LLC
• Doris Mumbo Sah
• Harvey L Shubert, PH.D.
• Tatiana Meffo Foute Singhe
• Salvador Sylvester, M.D
• T & T Healthcare Inc
• T and T Healthcare, Inc.

• Addiction (Substance Use Disorder) Counselor in Berwyn Heights, MD
• Providers in Berwyn Heights, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.