De'trece Atalie Lavender, NCC, LGPC - Counselor in Laurel, MD

De'trece Atalie Lavender, NCC, LGPC is a Counselor - Professional based in Laurel, Maryland. De'trece Atalie Lavender is licensed to practice in Maryland (license number LGP12232) and her current practice location is 8101 Sandy Spring Rd Ste 250, Laurel, Maryland. She can be reached at her office (for appointments etc.) via phone at (667) 228-8397.

NPI number for De'trece Atalie Lavender is 1073274387 and her current mailing address is 625 Parkwyrth Ave, Baltimore, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073274387.

Contact Information

De'trece Atalie Lavender, NCC, LGPC
8101 Sandy Spring Rd Ste 250,
Laurel, MD 20707-3527
(667) 228-8397
Not Available

Healthcare Provider's Profile

Full NameDe'trece Atalie Lavender
GenderFemale
SpecialityCounselor - Professional
Location8101 Sandy Spring Rd Ste 250, Laurel, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073274387
  • Provider Enumeration Date: 01/07/2022
  • Last Update Date: 01/09/2022

Medical Identifiers

Medical identifiers for De'trece Atalie Lavender such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073274387NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional LGP12232 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. De'trece Atalie Lavender is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
De'trece Atalie Lavender, NCC, LGPC
625 Parkwyrth Ave,
Baltimore, MD 21218-1956

Ph: (443) 522-8113
De'trece Atalie Lavender, NCC, LGPC
8101 Sandy Spring Rd Ste 250,
Laurel, MD 20707-3527

Ph: (667) 228-8397

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