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The Modalities Group 2

Social Worker, Clinical in Bowie, MD. Organization (NPI-2).

NPI number1962097261
StatusActive
Last updated in NPPESApr 25, 2022

Details

NPI
1962097261
Entity type
Organization (NPI-2)
Legal business name
The Modalities Group 2
Organization subpart
No
Enumeration date
Mar 8, 2021
Certification date
Apr 25, 2022
Last updated
Apr 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes
101YM0800X Counselor, Mental Health––
101YP1600X Counselor, Pastoral––
101YP2500X Counselor, Professional––
106H00000X Marriage & Family Therapist––
363LP0808X Nurse Practitioner, Psych/Mental Health––
103TC1900X Psychologist, Counseling––

Other names

  • Tpg Therapeutics (Doing Business As)

Practice location

15480 Annapolis Rd Ste 202-148
Bowie, MD 20715-1852

Phone 240-257-6634

Mailing address

15480 Annapolis Rd Ste 202-148
Bowie, MD 20715-1852

Authorized official

Dianna McFarlane
Surrogate
2402576634

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