Healthcare Provider Details

I. General information

NPI: 1578106928
Provider Name (Legal Business Name): FAMILIES FIRST COUNSELING AND PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2019
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 DOBBIN RD STE F
COLUMBIA MD
21045-4774
US

IV. Provider business mailing address

6410 DOBBIN RD STE F
COLUMBIA MD
21045-4774
US

V. Phone/Fax

Practice location:
  • Phone: 240-304-3327
  • Fax:
Mailing address:
  • Phone: 240-277-3359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. TODD ROBERT CHRISTIANSEN
Title or Position: PRESIDENT/MEDICAL DIRECTOR
Credential: MD
Phone: 240-304-3327