Provider Demographics
NPI:1518165562
Name:PLEASANT, TONYA N/A (LCPC, CRC, NCC, CCFC)
Entity Type:Individual
Prefix:DR
First Name:TONYA
Middle Name:N/A
Last Name:PLEASANT
Suffix:
Gender:F
Credentials:LCPC, CRC, NCC, CCFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 983
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20703-0983
Mailing Address - Country:US
Mailing Address - Phone:301-352-8482
Mailing Address - Fax:
Practice Address - Street 1:9841 GREENBELT RD
Practice Address - Street 2:SUITE 208
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-6269
Practice Address - Country:US
Practice Address - Phone:301-352-8482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1574101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional