Healthcare Provider Details

I. General information

NPI: 1912630997
Provider Name (Legal Business Name): MCL CONSULTING GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2022
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10451 MILL RUN CIR STE 400
OWINGS MILLS MD
21117-5594
US

IV. Provider business mailing address

10451 MILL RUN CIR STE 400
OWINGS MILLS MD
21117-5594
US

V. Phone/Fax

Practice location:
  • Phone: 312-569-9530
  • Fax: 410-356-8850
Mailing address:
  • Phone: 312-569-9530
  • Fax: 410-356-8850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHELLE OKAFOR
Title or Position: AUDIOLOGIST/OWNER
Credential: AU.D.
Phone: 312-569-9530