Provider Demographics
NPI:1467063305
Name:U MATTER DIVERSIFIED COUNSELING AND THERAPEUTIC CONCEPTS, LLC
Entity type:Organization
Organization Name:U MATTER DIVERSIFIED COUNSELING AND THERAPEUTIC CONCEPTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENSON
Authorized Official - Suffix:
Authorized Official - Credentials:MHS-C, LCPC, LPC
Authorized Official - Phone:240-507-4390
Mailing Address - Street 1:14363 LONGHOUSE LOOP
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-2065
Mailing Address - Country:US
Mailing Address - Phone:240-507-4390
Mailing Address - Fax:240-245-2940
Practice Address - Street 1:1300 MERCANTILE LN # 129-42
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-5327
Practice Address - Country:US
Practice Address - Phone:240-574-4377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2024-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty