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NPI Code Detail

MEDICARE: ALOE & SAGE COUNSELING, LLC

MEDICARE: ALOE & SAGE COUNSELING, LLC
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
11041C0700XClinical Social Worker
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1750921714
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALOE & SAGE COUNSELING, LLC
Provider Business Mailing Address
First Line : 10320 LITTLE PATUXENT PKWY STE 200
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3344
Country : US
Telephone Number : 443-834-8881
Fax Number :
Provider Business Practice Location Address
First Line : 10320 LITTLE PATUXENT PKWY STE 200
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3344
Country : US
Telephone Number : 443-834-8881
Fax Number :
Authorized Official
Title or Position : OWNER/ PSYCHOTHERAPIST
Name : DR. TURKESSA DEMISSE
Credential : PHD LCSW-C
Telephone Number : 443-834-8881
Provider Enumeration Date : 01/08/2020
Last Update Date : 11/29/2021

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Directions to “ALOE & SAGE COUNSELING, LLC ” Practice Location

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