Healthcare Provider Details

I. General information

NPI: 1386566966
Provider Name (Legal Business Name): THE MAHOGANY INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9861 BROKEN LAND PKWY STE 100
COLUMBIA MD
21046-3031
US

IV. Provider business mailing address

9861 BROKEN LAND PKWY STE 100
COLUMBIA MD
21046-3031
US

V. Phone/Fax

Practice location:
  • Phone: 443-961-4577
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. SHANIA SHEREE GREENWOOD
Title or Position: CEO/ OWNER
Credential: LCPC
Phone: 443-961-4577