Healthcare Provider Details

I. General information

NPI: 1467356832
Provider Name (Legal Business Name): SEEN & HEARD THERAPEUTIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 GRAND BLVD APT 2584
LARGO MD
20774-2666
US

IV. Provider business mailing address

9400 GRAND BLVD APT 2584
LARGO MD
20774-2666
US

V. Phone/Fax

Practice location:
  • Phone: 340-643-7891
  • Fax:
Mailing address:
  • Phone: 340-643-7891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: PORSCHER CHARLES
Title or Position: MENTAL HEALTH CLINICIAN
Credential: LCPC
Phone: 340-643-7891