Self Authentically Forever Evolving Counseling Services, LLC
NPI #1710562889 in Berwyn Heights, Maryland
Provider Information
- NPI Number
- 1710562889
- Entity Type
- Organization
- Organization Name
- Self Authentically Forever Evolving Counseling Services, LLC
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Mar 10, 2021
- Last Updated
- Mar 10, 2021
Practice Location
- Address
- 6201 GREENBELT RD STE L4
- City
- Berwyn Heights
- State
- Maryland
- ZIP Code
- 20740-2357
- Phone
- (240) 965-7262
Authorized Official
- Name
- MR. BARRY A. GRANT, MHS, CAC-AD
- Title
- CO-OWNER
- Phone
- (973) 943-2455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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