Healthcare Provider Details

I. General information

NPI: 1477755049
Provider Name (Legal Business Name): MAGALIE PIOU-BREWER LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9650 SANTIAGO RD SUITE 11
COLUMBIA MD
21045-3957
US

IV. Provider business mailing address

6616 CHRISTY ACRES CIR
MOUNT AIRY MD
21771-7473
US

V. Phone/Fax

Practice location:
  • Phone: 410-730-2385
  • Fax: 866-371-5933
Mailing address:
  • Phone: 301-829-7714
  • Fax: 301-829-7714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC1546
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: