Connected Self, Llc in Bowie - Marriage & Family Therapist

Connected Self, Llc - NPI 1932270568

Connected Self, Llc is a Marriage & Family Therapist in Bowie, Maryland. Connected Self, Llc practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Connected Self, Llc is 1932270568. The last update date is 2014-03-10.

Connected Self, Llc's current location address is 3012 Mitchellville Rd, Bowie, Maryland. You can contact this provider via phone number 3012180836 and fax number 3012180836. The mailing address for Connected Self, Llc is 3012 Mitchellville Rd, Bowie, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Connected Self, Llc
Address 3012 Mitchellville Rd, Bowie, Maryland
Phone Number 3012180836
Fax Number 3012180836
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER, SOL
Authorized Official Name Perkowski Alyce Merlina
Credentials LCMFT
Telephone Number 3012180836

NPI Number Detail

NPI Number 1932270568
Provider Enumeration Date 2006-11-13
Last Updated Date 2014-03-10

Provider Mailing Address Detail

Address 3012 Mitchellville Rd
City Bowie
State Maryland (MD)
Post Code 207163986
Phone Number 3012180836
Fax Number 3012180836

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Licence No LCM130
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
361133 MD MHN
511509400 MD --

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FAQs about Connected Self, Llc

What is the unique 10-digit identification code issued to Connected Self, Llc by the Centers for Medicare & Medicaid Services?

The Connected Self, Llc has been assigned the NPI (National Provider Identifier) 1932270568 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Connected Self, Llc is geographically located?

The Connected Self, Llc is physically situated at the following location: 3012 Mitchellville Rd, Bowie, MD, 207163986.

What is the area of specialization for Connected Self, Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Connected Self, Llc is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 106H00000X.

On what date did Connected Self, Llc receive its 1932270568 assignment from the Centers for Medicare & Medicaid Services?

The Connected Self, Llc was assigned its 1932270568 on 2006-11-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Connected Self, Llc most recently updated or revised?

The information pertaining to Connected Self, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2014-03-10.

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