Organization
MMC PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MORAD-MCCOY PH.D., LPCC (CLINICAL DIRECTOR)
(202) 505-1848
Entity
Organization
Contact information
Practice address
8601 GEORGIA AVE STE 712, SILVER SPRING, MD 20910-3439
(202) 505-1848
(240) 788-6198
Mailing address
8601 GEORGIA AVE STE 712, SILVER SPRING, MD 20910-3439
(202) 505-1848
(240) 788-6198
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79805540
—
NM
Enumeration date
01/18/2020
Last updated
10/07/2022
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