Provider Demographics
NPI:1164019576
Name:LANCASTER, FRAZIER, AND ASSOCIATES, LLC
Entity Type:Organization
Organization Name:LANCASTER, FRAZIER, AND ASSOCIATES, LLC
Other - Org Name:DIVERSIFIED LIFESTYLE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTOINETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANCASTER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LPC, LCPC, NCC
Authorized Official - Phone:202-239-5563
Mailing Address - Street 1:6178 OXON HILL ROAD SUITE 301
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3163
Mailing Address - Country:US
Mailing Address - Phone:301-804-8279
Mailing Address - Fax:240-204-8153
Practice Address - Street 1:6178 OXON HILL RD STE 304
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3163
Practice Address - Country:US
Practice Address - Phone:301-804-8279
Practice Address - Fax:240-204-8153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-31
Last Update Date:2023-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty