Organization · NPI-2

1 Serving Others, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · White Plains, MD

NPI number1730618299
StatusActive
Last updated in NPPESJun 8, 2017

Details

NPI
1730618299
Entity type
Organization (NPI-2)
Legal business name
1 Serving Others, LLC
Organization subpart
No
Enumeration date
Jun 8, 2017
Last updated
Jun 8, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)LCM636MDYes

Practice location

10665 Stanhaven Pl Ste 3121
White Plains, MD 20695-3055

Phone 240-360-1880

Mailing address

10468 Ponderosa Pine Ave
Waldorf, MD 20603-5792

Authorized official

Sonja Varner-Alston
Licensed Clinical Marriage & Family
8504996181

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