CONNECT TO CARE COUNSELING SERVICES, LLC (NPI# 1356957864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356957864 |
| Entity Type | Organization |
| Organization Name | CONNECT TO CARE COUNSELING SERVICES, LLC |
| Practice Address |
9701 Apollo Dr Ste 370 Upper Marlboro MD 20774-4796 |
| Mailing Address |
6192 Trotters Glen Dr Hughesville MD 20637-2876 |
| Practice Telephone | 7038575354 |
| Mailing Telephone | 3187910022 |
| Mailing Fax Number | 7038575354 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | MRS. DEITRA LATRICE FANT (OWNER/CLINICIAN) |
| Authorized Official Telephone | 7038575354 |
| Authorized Official Credential | M.A,NCC,LCPC,LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 207319600 | 05 |
| Street Address |
9701 APOLLO DR STE 370 |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-4796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699131896 | Deitra Latrice Fant | Counselor | 9701 Apollo Dr Ste 370, Upper Marlboro, MD 20774-4796 | 2016-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765310 | Ashley Yavonne Grier | Counselor | 261 Red Jade Dr, Upper Marlboro, MD 20774-1588 | 2020-09-16 |
| 1831739333 | Jasmine Mcleod | Counselor | 7200 Twinflower Pl, Upper Marlboro, MD 20772-4523 | 2020-01-13 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1639643885 | Kevin G Williams | Counselor | 4405 Largo Rd, Upper Marlboro, MD 20772-7837 | 2019-01-21 |
| 1699265694 | United Counseling and Support Services LLC | Counselor | 9701 Apollo Dr Ste 10020705, Upper Marlboro, MD 20774-4783 | 2018-05-15 |
| 1689172033 | Claudia Veronica Flowers | Counselor | 407 Clairborne St, Upper Marlboro, MD 20774-1965 | 2018-01-30 |
| 1093230815 | Marvin Reese | Counselor | 10559 Joyceton Dr, Upper Marlboro, MD 20774-1464 | 2017-08-14 |
| 1194240556 | Lead By Example Behavial Health Services LLC | Counselor | 1300 Mercantile Ln Ste 129-8, Upper Marlboro, MD 20774-5327 | 2017-08-07 |
| 1952824245 | Latonia Laffitte | Counselor | 4609 Penzance Place, Upper Marlboro, MD 20772-6923 | 2017-07-19 |
| 1801339874 | Gregory Roberts Jr. | Counselor | 2201 Barnstable Drive, Upper Marlboro, MD 20774 | 2016-11-23 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
Please comment or provide details below to improve the information on CONNECT TO CARE COUNSELING 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.