# CONNECTED SELF, LLC

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

## Provider details

- **NPI number:** 1932270568
- **Authorized official:** MS. MERLINA ALYCE PERKOWSKI LCMFT (OWNER, SOLE THERAPIST)
- **Authorized official phone:** (301) 218-0836

## Contact information

- **Practice address:** 3012 MITCHELLVILLE RD, SUITE 103, BOWIE, MD 20716-3986
- **Practice address phone:** (301) 218-0836
- **Practice address fax:** (301) 218-0836
- **Mailing address:** 3012 MITCHELLVILLE RD, SUITE 103, BOWIE, MD 20716-3986
- **Mailing address phone:** (301) 218-0836
- **Mailing address fax:** (301) 218-0836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | LCM130 | MD | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 03/10/2014