Mary Mahoney, LCPC
Individual provider Active NPI Mental Health Counselor · Poolesville, MD
NPI 1508078064 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508078064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LC0061 (MD)
- Practice address
- 19805 Sumter Way
Poolesville, MD 20837-2231 - Phone
- (301) 972-8518
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| LC0061 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MDM Counseling, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC0061 | MD | Yes |
Addresses
Primary practice location
19805 Sumter Way
Poolesville, MD 20837-2231
Mailing address
19805 Sumter Way
Poolesville, MD 20837-2231
Phone (301) 972-8518
Other providers in Poolesville, MD
- Kerri Kimbrell-Silva
- Katherine Kirksey
- Jan Fay Kress
- Adebukola Lekan-Abioye
- Leonard Sax MD PHD PA
- Robert Maletta
- Maryland CVS Pharmacy, L.L.C.
- Stephanie Lynn McKenney Groff
- MD Sleep Solutions LLC
- Robin Mevissen
All providers in Poolesville, MD · Mental Health Counselor 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 8, 2007. 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.