Healthcare Provider Details

I. General information

NPI: 1841109634
Provider Name (Legal Business Name): SAMUELS AND ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8539 GRANDHAVEN AVE
UPPER MARLBORO MD
20772-5070
US

IV. Provider business mailing address

8539 GRANDHAVEN AVE
UPPER MARLBORO MD
20772-5070
US

V. Phone/Fax

Practice location:
  • Phone: 301-780-5394
  • Fax:
Mailing address:
  • Phone: 301-780-5394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. JOYCE SAMUELS
Title or Position: OWNER
Credential: LPC
Phone: 301-256-4366