Search › Maryland › 101YP2500X
Deitra Fant, MA,NCC,LCPC,LPC
NPI 1699131896 · on the registry since 2016 · sole proprietor
Practice
- Address
- 120 Waterfront St Ste 420
Oxon Hill, MD 20745 - Phone
- (703) 857-5354
- Fax
- (571) 601-4607
- Organisation at this address
- Libido Health Inc.
Envue Surgical Llc
Bella Plastic Surgery, Llc
Envue Eye & Laser Center Llc
Connect To Care Counseling Services, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
261QM0850X
101YP2500X
171M00000X
172V00000X
261QM0855X
101YP2500X
251S00000X
261QM0801X
101YP2500X
101YM0800X - Licence states on file
- DC, MD, VA, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland