MEDICARE: CENTERPEACE PSYCHOLOGICAL ASSESSMENT & COUNSELING SERVICES, LLC

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
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1699639187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTERPEACE PSYCHOLOGICAL ASSESSMENT & COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	6325 WOODSIDE CT STE 200
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21046-1075
Country	:	US
Telephone Number	:	301-246-2730
Fax Number	:

Provider Business Practice Location Address
First Line	:	6325 WOODSIDE CT STE 200
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21046-1075
Country	:	US
Telephone Number	:	301-246-2730
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL PSYCHOLOGIST
Name	:	DR. MEHRIT TEKESTE
Credential	:	PH.D
Telephone Number	:	301-246-2730

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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