# MAXIMUS PSYCHOTHERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124773759
- **Authorized official:** MR. ROGER DOUGLAS DEVER II LCSW-C (OWNER & PSYCHOTHERAPIST)
- **Authorized official phone:** (443) 598-6638

## Contact information

- **Practice address:** 6305 MOUNT RIDGE RD, CATONSVILLE, MD 21228-2321
- **Practice address phone:** (443) 598-6638
- **Mailing address:** 3375 ELLICOTT CENTER DR UNIT 672, ELLICOTT CITY, MD 21041-7512
- **Mailing address phone:** (443) 598-6638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2022
- **Last updated:** 02/11/2022