| Carael Group, Llc | |
|
15732 Crabbs Branch Way Fl 2 Derwood MD 20855-2620 | |
| (240) 799-1520 | |
| (240) 556-0446 |
| Full Name | Carael Group, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 15732 Crabbs Branch Way Fl 2, Derwood, Maryland |
| Authorized Official Name and Position | Latonia D Staten (CHIEF THERAPIST/CEO) |
| Authorized Official Contact | 2407991520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carael Group, Llc 13911 Highstream Pl Germantown MD 20874-6161 Ph: (240) 889-1251 | Carael Group, Llc 15732 Crabbs Branch Way Fl 2 Derwood MD 20855-2620 Ph: (240) 799-1520 |
| NPI Number | 1194211995 |
|---|---|
| Provider Enumeration Date | 07/03/2018 |
| Last Update Date | 12/02/2024 |
| Certification Date | 12/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194211995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | LC8789 (Maryland) | Primary |
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