Healthcare Provider Details

I. General information

NPI: 1215581814
Provider Name (Legal Business Name): THE MODALITIES GROUP 1 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2019
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15480 ANNAPOLIS RD STE 202-148
BOWIE MD
20715-1852
US

IV. Provider business mailing address

15480 ANNAPOLIS RD STE 202-148
BOWIE MD
20715-1852
US

V. Phone/Fax

Practice location:
  • Phone: 240-599-3500
  • Fax: 888-818-6466
Mailing address:
  • Phone: 240-599-3500
  • Fax: 888-818-6466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DIANNA MCFARLANE
Title or Position: FOUNDER
Credential:
Phone: 301-710-9400