Candice Mitchell, MS,LGPC,NCC
Individual provider Active NPI Professional Counselor · Marriottsville, MD
NPI 1760066062 · NPPES record last updated Jun 23, 2021
Key facts
- NPI
- 1760066062
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LGP11470 (MD)
- Practice address
- 11155 Stratfield CT
Marriottsville, MD 21104-1650 - Phone
- (443) 219-5412
- NPI assigned
- May 12, 2021
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP11470 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fundamental Solutions Psychotherapy. LLC | Current |
Accepting new patients |
Locations
11155 Stratfield Ct
Marriottsville, MD 21104
Phone (410) 487-9477
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP11470 | MD | |
| Professional Counselor | 101YP2500X | LGP11470 | MD | Yes |
Addresses
Primary practice location
11155 Stratfield CT
Marriottsville, MD 21104-1650
Mailing address
11155 Stratfield CT # 21104
Marriottsville, MD 21104-1650
Phone (443) 934-1462
Other names
- Candice Mitchell Ferinde
Other providers in Marriottsville, MD
- Shelby Nicole Macananny
- Emily Markus
- Jennifer Maureen McDonald
- Michael Seamus Meteer
- Michelle Ann Miller
- Moon Healing Acupuncture & Integrative Health LLC
- Ghania Naeem
- Next Step Therapy, LLC
- NP Consultant, LLC
- Hakim Ogunsanya
All providers in Marriottsville, MD · Professional 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 Jun 23, 2021. 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.