Organization · NPI-2

Connect To Care Counseling Services, LLC

Counselor, Professional · Oxon Hill, MD

NPI number1356957864

StatusActive

Last updated in NPPESDec 30, 2025

Details

NPI: 1356957864
Entity type: Organization (NPI-2)
Legal business name: Connect To Care Counseling Services, LLC
Organization subpart: No
Enumeration date: Sep 21, 2020
Certification date: Dec 30, 2025
Last updated: Dec 30, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YP2500X	Counselor, Professional	–	–	Yes
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
253Z00000X	In Home Supportive Care	–	–

Practice location

120 Waterfront St Ste 420
Oxon Hill, MD 20745-1122

Phone 703-857-5354 · Fax 571-601-4607

Mailing address

120 Waterfront St Ste 420
Oxon Hill, MD 20745-1122

Phone 703-857-5354 · Fax 571-601-4607

Authorized official

Deitra Latrice Fant
Owner/Clinician
7038575354

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