# MELISSA D. MARSHALL, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MDM, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386229276
- **Authorized official:** DR. MELISSA MARSHALL PHD, LCPC (OWNER)
- **Authorized official phone:** (443) 904-2142

## Contact information

- **Practice address:** 55 MAIN STREET, REISTERSTOWN, MD 21136
- **Practice address phone:** (443) 904-2142
- **Mailing address:** 5713 NARCISSUS AVE, BALTIMORE, MD 21215-3551
- **Mailing address phone:** (443) 904-2142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/12/2021
- **Last updated:** 03/12/2021