Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

De'Trece Atalie Lavender, NCCLCPC

Individual provider Professional Counselor · NPI 1073274387

De'Trece Atalie Lavender, NCCLCPC is a Professional Counselor in Baltimore, Maryland. Works from 3 locations. Licensed in Maryland.

Licensed in
MD
In the registry since
2022

Practice location Address checks out

4904 York Rd Unit 4506
Baltimore, MD 21212-7501
Phone: (240) 565-0569
Fax: (240) 427-9390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4359 Northview Dr, Bowie, MD 20716-2603 — (240) 565-0569
  • 8101 Sandy Spring Rd Ste 250, Laurel, MD 20707-3527 — (667) 228-8397

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LC14772 (MD)

Record details

NPI number1073274387
Entity typeIndividual (Type 1)
GenderFemale
Credentials NCCLCPC
Sole proprietorNo
NPI enumeratedJanuary 7, 2022
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024

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