Healthcare Provider Details

I. General information

NPI: 1932739018
Provider Name (Legal Business Name): MONIQUE WOODBY LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2020
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7474 GREENWAY CENTER DR STE 700B
GREENBELT MD
20770-3523
US

IV. Provider business mailing address

1662 VILLAGE GRN STE 100
CROFTON MD
21114-2014
US

V. Phone/Fax

Practice location:
  • Phone: 202-883-2897
  • Fax:
Mailing address:
  • Phone: 410-757-2077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC12250
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC12250
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: