Provider Demographics
NPI:1447882865
Name:MENSAH, GLORIA YAA (LGPC)
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:YAA
Last Name:MENSAH
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13204 LANTERN HILL CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-5803
Mailing Address - Country:US
Mailing Address - Phone:323-449-5909
Mailing Address - Fax:
Practice Address - Street 1:13204 LANTERN HILL CT
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-5803
Practice Address - Country:US
Practice Address - Phone:323-449-5909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-05
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP8844101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional