ENLIGHTEN THERAPEUTIC & CONSULTING SERVICES, LLC (NPI# 1043716178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043716178 |
| Entity Type | Organization |
| Organization Name | ENLIGHTEN THERAPEUTIC & CONSULTING SERVICES, LLC |
| Practice Address |
46 Riverside Run Dr Indian Head MD 20640-2044 |
| Mailing Address |
920 Palmer Rd Apt 14 Fort Washington MD 20744-4674 |
| Practice Telephone | 3013563818 |
| Mailing Telephone | 3013563818 |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2019-05-31 |
| Authorized Official Name | DR. KEYONA HALL (MENTAL HEALTH THERAPIST) |
| Authorized Official Telephone | 3013563818 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811530629 | Enlighten Therapeutic & Consulting Services, LLC | Community/Behavioral Health | 4400 Stamp Rd Ste 208, Temple Hills, MD 20748-6728 | 2019-10-24 |
| Street Address |
46 RIVERSIDE RUN DR |
| City | INDIAN HEAD |
| State | MD |
| Zip Code | 20640-2044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639664683 | The Heard Group, LLC | Clinic/Center | 6284 Hard Bargain Cir, Indian Head, MD 20640 | 2018-06-22 |
| 1154790509 | Memuna Kamara | Nurse Practitioner | 319 Munahan Circle Unit A, Indian Head, MD 20640 | 2015-09-16 |
| 1174620926 | Naval Health Clinic Patuxent River | Military/U.S. Coast Guard Pharmacy | Bldg 1600 Wilson Drive, Indian Head, MD 20640 | 2006-09-20 |
| 1861494395 | Dale R Harman | Preventive Medicine | 1600 W Wilson Rd, Occupational Health Clinic, Nswc Indian Head, Indian Head, MD 20640-1400 | 2005-08-15 |
| 1467414508 | Keith Lynn Mayberry | Dentist | 1600 W Wilson Rd, Indian Head, MD 20640-1400 | 2006-04-04 |
| 1588646962 | John H Callahan | Physician Assistant | 17 Strauss Ave, Indian Head Division, Indian Head, MD 20640-1523 | 2005-11-18 |
| 1114064573 | Monica L Bilik | Physician Assistant | 101 Strauss Ave Bldg 901, Indian Head, MD 20640-1542 | 2007-02-01 |
| 1881654697 | Kevin F Kelley Sr. | Physician Assistant | 101 Strauss Ave, Cbirf, 2nd Mef, Indian Head, MD 20640-1542 | 2006-03-24 |
| 1750561189 | Dexter Arvange Woods | Dentist | 158 Riverwatch Dr, Indian Head, MD 20640-1558 | 2007-11-14 |
| 1649818907 | Augustina O Boadu | Non-emergency Medical Transport (VAN) | 32 Fairhill Ln, Indian Head, MD 20640-1577 | 2019-12-18 |
| Find all providers in zip 20640 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1942807987 | Ray of Hope Counseling Center LLC | Clinic/Center | 48 Wedge Way, Pikesville, MD 21208-1210 | 2020-10-02 |
| 1255948642 | Apple Tree Wellness | Clinic/Center | 119 Teachers Way Apt 3044, Gaithersburg, MD 20877-3176 | 2020-09-29 |
| 1154938975 | Lovework, LLC | Clinic/Center | 2352 Eutaw Pl Apt 3, Baltimore, MD 21217-4084 | 2020-09-25 |
| 1144837980 | King Health Systems, Inc. | Clinic/Center | 14201 Laurel Park Dr Ste 206, Laurel, MD 20707-5203 | 2020-09-25 |
| 1871109181 | Journey Health Center | Clinic/Center | 1808 Woodlawn Dr Ste O, Gwynn Oak, MD 21207-4023 | 2020-09-22 |
| 1801402656 | Desicare LLC | Clinic/Center | 7712 West Shore Road, Pasadena, MD 21122-1519 | 2020-09-17 |
| 1508472226 | Resilient Psychiatry, LLC | Clinic/Center | 744 Dulaney Valley Rd Ste 7, Towson, MD 21204-5132 | 2020-09-17 |
| 1356955298 | Peace In Perspective | Clinic/Center | 11 Far Corners Loop, Sparks, MD 21152-9256 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | INDIAN HEAD |
| Zip Code | 20640 |
Please comment or provide details below to improve the information on ENLIGHTEN THERAPEUTIC & CONSULTING SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.