Healthcare Provider Details

I. General information

NPI: 1427823079
Provider Name (Legal Business Name): MC COUNSELING & TRAINING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2023
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 LAKEMONT DR
GLEN BURNIE MD
21060-8793
US

IV. Provider business mailing address

2657G ANNAPOLIS RD UNIT 404
HANOVER MD
21076-2467
US

V. Phone/Fax

Practice location:
  • Phone: 443-292-2363
  • Fax:
Mailing address:
  • Phone: 443-292-2363
  • Fax:

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 State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. RENEE U. MCLAUGHLIN
Title or Position: OWNER/THERAPIST
Credential: LCPC, NCC
Phone: 443-292-2363