# MINDY KRUPP LCSW-C THERAPIST LLC

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

## Provider details

- **NPI number:** 1275913212
- **Authorized official:** MINDY KRUPP LCSW-C (OWNER)
- **Authorized official phone:** (443) 404-5320

## Contact information

- **Practice address:** 14350 SOLOMONS ISLAND ROAD, SOLOMONS, MD 20688
- **Practice address phone:** (443) 404-5320
- **Mailing address:** PO BOX 915, SOLOMONS, MD 20688-0915
- **Mailing address phone:** (443) 404-5320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 11408 | MD | Yes |

## Other

- **Enumeration date:** 06/04/2015
- **Last updated:** 06/04/2015