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NPI Code Detail

MEDICARE: MRS. MECHELLE ARMSTEAD-PHARR LCPC

MEDICARE: MRS. MECHELLE ARMSTEAD-PHARR LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP1600XPastoral Counselor
2101YP2500XProfessional Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275075962
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MECHELLE ARMSTEAD-PHARR LCPC
Provider Business Mailing Address
First Line : 9701 APOLLO DR STE 100
Second Line :
City : LARGO
State : MD
Zip : 20774-4785
Country : US
Telephone Number : 202-505-1186
Fax Number :
Provider Business Practice Location Address
First Line : 9701 APOLLO DR STE 100
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-4785
Country : US
Telephone Number : 25-051-1862
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2016
Last Update Date : 06/18/2024

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