Healthcare Provider Details

I. General information

NPI: 1538431655
Provider Name (Legal Business Name): FAYE MARIE MCALLISTER LCADC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FAYE MARIE MCALLISTER LCADC, LPC

II. Dates (important events)

Enumeration Date: 02/06/2012
Last Update Date: 06/07/2024
Certification Date: 06/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14701 NATIONAL HWY SW STE 5&6
LAVALE MD
21502-6573
US

IV. Provider business mailing address

2414 HARE HOLLOW RD
GRANTSVILLE MD
21536-2319
US

V. Phone/Fax

Practice location:
  • Phone: 301-687-0940
  • Fax: 301-687-0948
Mailing address:
  • Phone: 410-804-5794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC006284
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLCA1853
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCA1853
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: