| Organization Name: | SOUTHERN MARYLAND COUNSELING, LLC |
| NPI Number: | 1477991594 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANA LYNNE KRAFT (MANAGING MEMBER) |
| Mailing Address: | 1295 Hollidge Rd Lusby |
| State: | MD US |
| Postal Code: | 206572682 |
| Phone Number: | 4102312124 |
| Fax Number: | 4108821079 |
| NPI Enumeration Date: | 06/11/2013 |
| NPI Last Update Date: | 06/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LC1273 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |