Organization
CONNECTED SELF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MERLINA ALYCE PERKOWSKI LCMFT (OWNER, SOLE THERAPIST)
(301) 218-0836
Entity
Organization
Contact information
Practice address
3012 MITCHELLVILLE RD, SUITE 103, BOWIE, MD 20716-3986
(301) 218-0836
(301) 218-0836
Mailing address
3012 MITCHELLVILLE RD, SUITE 103, BOWIE, MD 20716-3986
(301) 218-0836
(301) 218-0836
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCM130
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
361133
MHN
MD
05
—
511509400
—
MD
Enumeration date
11/13/2006
Last updated
03/10/2014
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