Organization
MINDFUL MARRIAGE AND FAMILY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLEE SOPHIA BRY LCMFT (OWNER)
(301) 514-8120
Entity
Organization
Contact information
Practice address
2502 URBANA PIKE, IJAMSVILLE, MD 21754-8602
(301) 281-4963
Mailing address
5257 BUCKEYSTOWN PIKE # 123, FREDERICK, MD 21704-7535
(301) 514-8120
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LCM570
MD
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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