Tiarra Monique Abu-Bakr, LGPC
Individual provider Active NPI Mental Health Counselor · Clinton, MD
NPI 1730643198 · NPPES record last updated Jan 29, 2019
Key facts
- NPI
- 1730643198
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LGP9056 (MD)
- Practice address
- 9015 Woodyard Rd
Clinton, MD 20735-4209 - Phone
- (301) 899-6222
- NPI assigned
- Jan 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| LGP9056 | MD | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP9056 | MD | Yes |
Addresses
Primary practice location
9015 Woodyard Rd
Clinton, MD 20735-4209
Mailing address
10371 Stewards Chance LN
White Plains, MD 20695-3297
Phone (202) 270-7958
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LGP9056 | Other | MD | MARYLAND STATE |
Other providers in Clinton, MD
- Nina Victoria Abon
- Ruqaya Abourawi
- Tarek Aboursheid
- Tigisti Tesfai Abraha
- Michael A Abramson
- Accessible Medical Solutions LLC
- Achieving Mental Victory, LLC
- Rafael Antonio Acosta
- Darin C Adair
- Reginald Vernell Adams
All providers in Clinton, 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 Jan 29, 2019. 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.