Healthcare Provider Details

I. General information

NPI: 1770287682
Provider Name (Legal Business Name): CARA COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 BROADWAY ST
QUANTICO VA
22134-3428
US

IV. Provider business mailing address

114 CEDARDEEN CT
CEDAR POINT NC
28584-8037
US

V. Phone/Fax

Practice location:
  • Phone: 240-921-8566
  • Fax: 240-623-9818
Mailing address:
  • Phone: 240-921-8566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SARAH ELLEN
Title or Position: OWNER
Credential: LPC
Phone: 240-921-8566