DXT Therapeutic Services

Organization Active NPI Professional Counselor · District Heights, MD

NPI 1417410044 · NPPES record last updated Jun 11, 2019

Key facts

NPI
1417410044
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
Legal business name
DXT THERAPEUTIC SERVICES
Practice address
7610 Pennsylvania Ave Ste 301
District Heights, MD 20747-4701
Phone
(240) 676-2895
Fax
(240) 838-7736
NPI assigned
Apr 10, 2019
Organization subpart
No

Authorized official

Name
Michelle Hare, LCPC,LPC,MAC
Title
Clinical Director
Phone
(240) 676-2895

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
DXT Therapeutic Services (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YP2500X Yes
Prescribing (Medical) Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103TP0016X
Group Psychotherapy Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103TP2701X
Marriage & Family Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
106H00000X
General Practice Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP
163WG0000X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP
163WP0807X
Hand Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225XH1200X

Addresses

Primary practice location

7610 Pennsylvania Ave Ste 301
District Heights, MD 20747-4701

Mailing address

3314 Valley Forest Dr
Upper Marlboro, MD 20772-9400
Phone (240) 676-2895

Other providers in District Heights, MD

All providers in District Heights, MD · Professional Counselor in Maryland

Sources for this page

Verify at the official NPI Registry.