MEDICARE: THE MODALITIES GROUP 1 LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1215581814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MODALITIES GROUP 1 LLC

Provider Business Mailing Address
First Line	:	15480 ANNAPOLIS RD
Second Line	:	STE 202-148
City	:	BOWIE
State	:	MD
Zip	:	20715-1852
Country	:	US
Telephone Number	:	240-599-3500
Fax Number	:	888-818-6466

Provider Business Practice Location Address
First Line	:	15480 ANNAPOLIS RD STE 202-148
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20715-1852
Country	:	US
Telephone Number	:	240-599-3500
Fax Number	:	888-818-6466

Authorized Official
Title or Position	:	FOUNDER
Name	:	DIANNA MCFARLANE
Credential	:
Telephone Number	:	301-710-9400

Provider Enumeration Date	:	07/31/2019
Last Update Date	:	07/07/2025

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Directions to “THE MODALITIES GROUP 1 LLC ” Practice Location

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