Healthcare Provider Details

I. General information

NPI: 1851197503
Provider Name (Legal Business Name): NEURODIVERGENCE AND TRAUMA COUNSELING AND CONSULTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 03/22/2025
Certification Date: 03/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5652 SHIELDS DR
BETHESDA MD
20817-3574
US

IV. Provider business mailing address

52 LAKESIDE DR
GREENBELT MD
20770-1904
US

V. Phone/Fax

Practice location:
  • Phone: 301-202-4677
  • Fax:
Mailing address:
  • Phone: 301-221-6991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: EMILY FRANCIS
Title or Position: FOUNDER
Credential: MS LCPC
Phone: 301-202-4677