Organization
EXCELLIS CONSULTING AND CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PATRICK MALONE PSY.D. (CEO)
(240) 547-9462
Entity
Organization
Contact information
Practice address
10632 LITTLE PATUXENT PKWY, SUITE 310, COLUMBIA, MD 21044-3273
(240) 547-9462
Mailing address
315 LAUREL AVE, LAUREL, MD 20707-4319
(240) 547-9462
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC2181
MD
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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