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DIVERSIFIED LIFESTYLE SERVICES
NPI 1255814125
Counselor - Mental Health in Waldorf, MD

Active since September 07, 2018
2255 CRAIN HWY STE 102, WALDORF, MD 20601(301) 804-8279(240) 204-8153 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2018, Sep 7, 2018 (2 updates tracked since 2018).

About Diversified Lifestyle Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVERSIFIED LIFESTYLE SERVICES (NPI 1255814125) is a healthcare organization registered as a mental health in Waldorf, Maryland and active in the NPI registry since September 2018. The organization lists Antoinette Lancaster, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1255814125
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameDIVERSIFIED LIFESTYLE SERVICES
Location Address2255 CRAIN HWY STE 102Waldorf, MD 20601-3186
Mailing Address137 National Plaza, Suite 300National Harbor, MD 20745 · (301) 804-8279 · Fax (240) 204-8153
Phone(301) 804-8279
Fax(240) 204-8153
Organization SubpartYesParent: Lancaster, Frazier, And Associates, Llc
Authorized OfficialAntoinette LancasterExecutive Director · (202) 239-5563
Enumeration DateSeptember 7, 2018
Last NPPES UpdateDecember 10, 20182 updates tracked since enumeration
✔ NPI 1255814125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
2255 CRAIN HWY STE 102, Waldorf, MD 20601
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONICA DOUGLAS LGPC, NCC
Counselor (Professional)
2255 CRAIN HWY STE 102
WALDORF, MD 20601
Charles County (301) 363-9122
BRIANA CRAGWELL LMSW
Social Worker (Clinical)
2255 CRAIN HWY STE 102
WALDORF, MD 20601
Charles County (240) 273-3117
MARISSA REED LCSW-C
Social Worker (Clinical)
2255 CRAIN HWY STE 102
WALDORF, MD 20601
Charles County (301) 327-1073
DAMART WHEELS, LLC
Home Health
2255 CRAIN HWY STE 102
WALDORF, MD 20601
Charles County (301) 433-1443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diversified Lifestyle Services's NPI number?

The NPI number for Diversified Lifestyle Services is 1255814125. It was assigned to this organization in the NPPES registry on September 7, 2018.

Where is Diversified Lifestyle Services located?

Diversified Lifestyle Services is located at 2255 Crain Hwy Ste 102, Waldorf, MD 20601. The listed phone number is (301) 804-8279.

What is Diversified Lifestyle Services's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Diversified Lifestyle Services was last updated on December 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.