Healthcare Provider Details

I. General information

NPI: 1235926577
Provider Name (Legal Business Name): CHRISTINA PARENT LGPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7375 EXECUTIVE PL STE 400
LANHAM MD
20706-6232
US

IV. Provider business mailing address

7375 EXECUTIVE PL STE 400
LANHAM MD
20706-6232
US

V. Phone/Fax

Practice location:
  • Phone: 240-925-4281
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGP16181
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: