Organization
MIRSKY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH KLOTZ MS, LCPC (THERAPIST, CEO)
(240) 432-1884
Entity
Organization
Contact information
Practice address
2250 WASHINGTON AVE APT 302, SILVER SPRING, MD 20910-2647
(240) 432-1884
Mailing address
2250 WASHINGTON AVE APT 302, SILVER SPRING, MD 20910-2647
(240) 432-1884
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336731702
NPI
MD
Enumeration date
07/28/2023
Last updated
07/28/2023
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