Organization
MT. AIRY PSYCHOLOGICAL SERVICES, LLC
Active
Other names
Mt. Airy Counseling, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LORA SPEAKE (CO-OWNER)
(667) 354-1201
Entity
Organization
Contact information
Practice address
603 E RIDGEVILLE BLVD, MOUNT AIRY, MD 21771-5249
(301) 200-3853
Mailing address
603 E RIDGEVILLE BLVD, MOUNT AIRY, MD 21771-5249
(667) 354-1201
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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