NPI 1417410044 · live from the CMS NPI Registry
Dxt Therapeutic Services
Counselor, Professional in District Heights, MD. National Provider Identifier 1417410044, active.
NPI record
| NPI | 1417410044 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 7610 Pennsylvania Ave Ste 301, District Heights, MD 20747 |
| Practice phone | 240-676-2895 |
| Mailing address | 3314 Valley Forest Dr, Upper Marlboro, MD 20772 |
| Enumerated | April 10, 2019 |
| Last updated | June 11, 2019 |
| Authorized official | Michelle Hare, Clinical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Psychologist, Prescribing (Medical) | 103TP0016X | — |
| Psychologist, Group Psychotherapy | 103TP2701X | — |
| Registered Nurse, General Practice | 163WG0000X | — |
| Registered Nurse, Psych/Mental Health, Child & Adolescent | 163WP0807X | — |
| Occupational Therapist, Hand | 225XH1200X | — |
| Counselor, Professional primary | 101YP2500X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.