Organization
SHIFTING MINDSETS COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLINA FUQUA LCSW-C (C.E.O)
(443) 497-8799
Entity
Organization
Contact information
Practice address
10530 CAMPUS WAY S # 1143, LARGO, MD 20774-1309
(443) 497-8799
Mailing address
3508 COMMUNITY DR, DISTRICT HEIGHTS, MD 20747-5902
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/05/2022
Last updated
08/16/2022
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