SAFRIANNA ALYSSA MARIE DEGROAT


Address: 122 E Patrick St # 108, Frederick, MD 21701-5630
Phone: 2404904306

SAFRIANNA ALYSSA MARIE DEGROAT (NPI# 1093364499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093364499
Entity Type Individual
Full Name SAFRIANNA ALYSSA MARIE DEGROAT
Credential LGPC
Practice Address 122 E Patrick St # 108
Frederick
MD 21701-5630
Practice Telephone 2404904306
Mailing Telephone 2404904306
Enumeration Date 2019-09-09
Last Update Date 2020-11-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LC10745 MD Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
LGP8423 MD Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1311 Londontown Blvd Ste 130a, Eldersburg, MD 217846439 4105520773 4432000267

Office Location

Street Address 122 E PATRICK ST # 108
City FREDERICK
State MD
Zip Code 21701-5630

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780285023 Wendy L Gill Counselor 2714 Egret Way, Frederick, MD 21701-1912 2020-11-03
1164032942 Charles Lee Jenkins Jr. Counselor 4705 Verdana Loop, Frederick, MD 21703-2733 2020-08-05
1942827951 Cruzan Homestead Counselor 5305 Jefferson Pike Ste C7, Frederick, MD 21703-6982 2020-06-26
1265053243 Careapy, LLC Counselor 5104 Pegasus Ct Ste B, Frederick, MD 21704-8323 2020-05-01
1720620792 Christine Suhler Counselor 3522 Worthington Blvd Unit 201, Frederick, MD 21704-7049 2019-10-11
1376024935 Meghan Elizabeth Harrington-patton Counselor 7602 Irongate Ln, Frederick, MD 21702-3562 2018-08-22
1639665995 Ryan Defibaugh Counselor 8006 Broken Reed Ct, Frederick, MD 21701-3279 2018-07-10
1659874527 Malaka Castle Counselor 915 Toll House Ave Ste 102, Frederick, MD 21701-5911 2018-03-16
1487184826 Hughescounselingservices LLC Counselor 201a Broadway St, Frederick, MD 21701-6561 2017-06-18
1144778572 Julio Alfredo Orozco Counselor 6110 Cool Spring Ter S, Frederick, MD 21701-5803 2016-09-14
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Competitor

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City FREDERICK
Zip Code 21701

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Dataset Information

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.

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