Shaneka Alexandria Campbell, LCMFT
Individual provider Active NPI Marriage & Family Therapist · Columbia, MD
NPI 1194474346 · NPPES record last updated Jul 19, 2024
Key facts
- NPI
- 1194474346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LCM1037 (MD)
- Practice address
- 10630 Little Patuxent Pkwy
Columbia, MD 21044-3264 - Phone
- (860) 752-5162
- NPI assigned
- Mar 23, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCM1037 | MD | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestones Counseling and Consulting Services | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LCM1037 | MD | Yes |
Addresses
Primary practice location
10630 Little Patuxent Pkwy
Columbia, MD 21044-3264
Mailing address
3403 Hampton Hollow Dr Apt K
Silver Spring, MD 20904-6133
Phone (860) 752-5162
Other practice location 1
3403 Hampton Hollow Dr Apt K
Silver Spring, MD 20904-6133
Phone (860) 752-5162
Other providers in Columbia, MD
- Erin Camp
- Dakota Marie Campbell
- Dayoung Campbell
- Judith Ann Campbell
- Phyllis E Campbell
- Tawana Campbell
- Jamie Campitelli
- Catherine Stephanie Campos
- Dawn Cane
- Camille Ava Loanzon Canlas
All providers in Columbia, MD · Marriage & Family Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.