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NPI Code Detail

MEDICARE: MIRKA DENIS

MEDICARE:   MIRKA  DENIS
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
1101YM0800XMental Health CounselorLGP17974MD

General Provider Information

NPI Number : 1801722673
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRKA DENIS
Provider Business Mailing Address
First Line : 5010 WALKING STICK RD
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-8048
Country : US
Telephone Number : 410-422-3722
Fax Number :
Provider Business Practice Location Address
First Line : 5010 WALKING STICK RD
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-8048
Country : US
Telephone Number : 410-422-3722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2026
Last Update Date : 06/19/2026

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Directions to “ MIRKA DENIS ” Practice Location

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