Healthcare Provider Details

I. General information

NPI: 1912892647
Provider Name (Legal Business Name): ALLEVIATION COUNSELING SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20000 SWEETGUM CIR APT 44
GERMANTOWN MD
20874-3756
US

IV. Provider business mailing address

20000 SWEETGUM CIR APT 44
GERMANTOWN MD
20874-3756
US

V. Phone/Fax

Practice location:
  • Phone: 240-264-9819
  • Fax:
Mailing address:
  • Phone: 240-264-9819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DIANA ANDREA GAYLE
Title or Position: FOUNDER/ CEO
Credential: LGPC
Phone: 240-264-9819