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NPI Code Detail

MEDICARE: MRS. TAMIA ANDREA PLEASANTS LCPC, NCC

MEDICARE:  MRS. TAMIA ANDREA PLEASANTS  LCPC, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0701009555VA
2101YP2500XProfessional Counselor
3101YP2500XProfessional CounselorPRC13959DC
4101YP2500XProfessional CounselorLC6312MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417181728
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAMIA ANDREA PLEASANTS LCPC, NCC
Provider Business Mailing Address
First Line : 15020 NEWCOMB LN
Second Line :
City : BOWIE
State : MD
Zip : 20716-1027
Country : US
Telephone Number : 301-684-4606
Fax Number : 240-331-0545
Provider Business Practice Location Address
First Line : 4329 NORTHVIEW DR
Second Line :
City : BOWIE
State : MD
Zip : 20716-2601
Country : US
Telephone Number : 301-684-4606
Fax Number : 240-331-0545
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2009
Last Update Date : 03/08/2024

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