Organization
DXT THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HARE LCPC,LPC,MAC (CLINICAL DIRECTOR)
(240) 676-2895
Entity
Organization
Contact information
Practice address
7610 PENNSYLVANIA AVE STE 301, DISTRICT HEIGHTS, MD 20747-4701
(240) 676-2895
(240) 838-7736
Mailing address
3314 VALLEY FOREST DR, UPPER MARLBORO, MD 20772-9400
(240) 676-2895
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
163WG0000X
General Practice Registered Nurse
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
04/10/2019
Last updated
06/11/2019
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