Healthcare Provider Details

I. General information

NPI: 1437712718
Provider Name (Legal Business Name): THE COUPLE AND FAMILY CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2019
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2524 LOCUSTWOOD PL
SILVER SPRING MD
20905-6421
US

IV. Provider business mailing address

2524 LOCUSTWOOD PL
SILVER SPRING MD
20905-6421
US

V. Phone/Fax

Practice location:
  • Phone: 301-633-1020
  • Fax:
Mailing address:
  • Phone: 301-633-1020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ROBIN S SMITH
Title or Position: OWNER AND PRINCIPAL THERAPIST
Credential: LCMFT
Phone: 301-633-1020