Healthcare Provider Details

I. General information

NPI: 1184970733
Provider Name (Legal Business Name): HEALTHY SYNERGY PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2012
Last Update Date: 08/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20528 BOLAND FARM RD STE 207
GERMANTOWN MD
20876-4038
US

IV. Provider business mailing address

20528 BOLAND FARM RD STE 207
GERMANTOWN MD
20876-4038
US

V. Phone/Fax

Practice location:
  • Phone: 301-401-8226
  • Fax:
Mailing address:
  • Phone: 301-401-8226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number04273
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11265
License Number StateMD

VIII. Authorized Official

Name: DR. ANDREA LYNN MORLEY
Title or Position: PSYCHOLOGIST
Credential: PSYD
Phone: 301-401-8225