Healthcare Provider Details

I. General information

NPI: 1558018945
Provider Name (Legal Business Name): METHODS THERAPY, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2022
Last Update Date: 03/04/2022
Certification Date: 03/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9015 WOODYARD RD STE 202-203
CLINTON MD
20735-4209
US

IV. Provider business mailing address

PO BOX 2217
WALDORF MD
20604-2217
US

V. Phone/Fax

Practice location:
  • Phone: 301-899-6222
  • Fax: 833-211-2431
Mailing address:
  • Phone: 301-899-6222
  • Fax: 833-211-2431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. SADE MARIE DUNN
Title or Position: CEO/OWNER
Credential: LCPC, LPC
Phone: 301-752-9424