Connected Self, LLC
Marriage & Family Therapist in Bowie, MD. Organization (NPI-2).
NPI number1932270568
StatusActive
Last updated in NPPESMar 10, 2014
Details
- NPI
- 1932270568
- Entity type
- Organization (NPI-2)
- Legal business name
- Connected Self, LLC
- Organization subpart
- No
- Enumeration date
- Nov 13, 2006
- Last updated
- Mar 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LCM130 | MD | Yes |
Practice location
3012 Mitchellville RdSuite 103
Bowie, MD 20716-3986
Phone 301-218-0836 · Fax 301-218-0836
Mailing address
3012 Mitchellville RdSuite 103
Bowie, MD 20716-3986
Phone 301-218-0836 · Fax 301-218-0836
Authorized official
Merlina Alyce Perkowski
Owner, Sole Therapist
3012180836
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