Healthcare Provider Details

I. General information

NPI: 1568571735
Provider Name (Legal Business Name): DORI MAKOWSKE LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 BREEZEWICK CIR
TOWSON MD
21286-3301
US

IV. Provider business mailing address

908 BREEZEWICK CIR
TOWSON MD
21286-3301
US

V. Phone/Fax

Practice location:
  • Phone: 410-960-1577
  • Fax:
Mailing address:
  • Phone: 410-960-1577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC1553
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: