Healthcare Provider Details

I. General information

NPI: 1366308470
Provider Name (Legal Business Name): MAUREEN SIMPSON LGPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13334 CLARKSVILLE PIKE BLDG C
HIGHLAND MD
20777-9701
US

IV. Provider business mailing address

2324 MEADOW TRAIL LN
WEST FRIENDSHIP MD
21794-9745
US

V. Phone/Fax

Practice location:
  • Phone: 301-618-0829
  • Fax: 301-570-7515
Mailing address:
  • Phone: 301-618-0829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGP17343
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: