Healthcare Provider Details

I. General information

NPI: 1235688946
Provider Name (Legal Business Name): CARING COUPLES, HAPPY LIVES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2016
Last Update Date: 09/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6008 BELL STATION RD
GLENN DALE MD
20769-9137
US

IV. Provider business mailing address

6008 BELL STATION RD
GLENN DALE MD
20769-9137
US

V. Phone/Fax

Practice location:
  • Phone: 866-588-0477
  • Fax:
Mailing address:
  • Phone: 866-588-0477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC1135
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLCM593
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLCM584
License Number StateMD

VIII. Authorized Official

Name: MS. ELIZABETH SLOAN
Title or Position: CLINICAL DIRECTOR
Credential: LCPC
Phone: 866-588-0477