Healthcare Provider Details

I. General information

NPI: 1770414799
Provider Name (Legal Business Name): ALAINA PORTSER LGPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 CENTRAL AVE STE 207
LANDOVER MD
20785-4868
US

IV. Provider business mailing address

3910 ANGELTON CT
BURTONSVILLE MD
20866-2054
US

V. Phone/Fax

Practice location:
  • Phone: 301-433-8068
  • Fax:
Mailing address:
  • Phone: 202-321-8934
  • Fax: 202-321-8934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGP17341
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: