Sarah Bong Agboli, LCMFT
Individual provider Active NPI Marriage & Family Therapist · Columbia, MD
NPI 1578884201 · NPPES record last updated Jun 16, 2014
Key facts
- NPI
- 1578884201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LCM369 (MD)
- Practice address
- 10630 Little Patuxent Pkwy
Suite 209
Columbia, MD 21044-3264 - Phone
- (410) 740-8069
- NPI assigned
- Jun 16, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| LCM369 | MD | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LCM369 | MD | Yes |
Addresses
Primary practice location
10630 Little Patuxent Pkwy
Suite 209
Columbia, MD 21044-3264
Mailing address
10630 Little Patuxent Pkwy
Suite 209
Columbia, MD 21044-3264
Phone (410) 740-8069
Other providers in Columbia, MD
- Sultana Jahan Afrooz
- Fonkeng Comfort Afuaka
- Farzaneh Agahi
- Puneet Agarwal
- Nickolas Theophilos Agathis
- Irys Ako Agbortabi
- Agnes Ashu Agbortarh
- Cecily Marie L. Agcaoili
- Age Right Care LLC
- Agewell Alliance
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 Jun 16, 2014. 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.