Healthcare Provider Details

I. General information

NPI: 1285428037
Provider Name (Legal Business Name): SUNDAY MORNING THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7906 DRISCOLL DR
BOWIE MD
20720-4403
US

IV. Provider business mailing address

7906 DRISCOLL DR
BOWIE MD
20720-4403
US

V. Phone/Fax

Practice location:
  • Phone: 301-357-0986
  • Fax:
Mailing address:
  • Phone: 301-357-0986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. CHRISTINA CHACKO
Title or Position: OWNER
Credential: LCSW-C
Phone: 301-357-0986