Healthcare Provider Details

I. General information

NPI: 1093897803
Provider Name (Legal Business Name): MARSHY HOPE FAMILY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 12/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813-1 CHESAPEAKE DRIVE
CAMBRIDGE MD
21613-9401
US

IV. Provider business mailing address

813-1 CHESAPEAKE DRIVE
CAMBRIDGE MD
21613-9401
US

V. Phone/Fax

Practice location:
  • Phone: 410-221-2266
  • Fax: 410-221-2878
Mailing address:
  • Phone: 410-221-2266
  • Fax: 410-221-2878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARY JUNE MCGINNIS
Title or Position: OWNER, CLINICAL DIRECTOR
Credential: MSW, LCSW-C
Phone: 410-221-2266