Healthcare Provider Details

I. General information

NPI: 1023085651
Provider Name (Legal Business Name): MERCIA F CUMMINGS LCPC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MERCIA F PLATER LCPC, LPC

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 04/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 POST OFFICE ROAD
WALDORF MD
20602
US

IV. Provider business mailing address

P.O. BOX 820
WHITE PLAINS MD
20695
US

V. Phone/Fax

Practice location:
  • Phone: 301-758-5992
  • Fax: 301-203-0522
Mailing address:
  • Phone: 301-758-5992
  • Fax: 301-203-0522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC2055
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPRC13915
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: