Provider Demographics
NPI:1073584116
Name:HANDY, MARKELLE K (LCPC)
Entity Type:Individual
Prefix:MS
First Name:MARKELLE
Middle Name:K
Last Name:HANDY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6794
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-0794
Mailing Address - Country:US
Mailing Address - Phone:301-751-5859
Mailing Address - Fax:
Practice Address - Street 1:1056 EAGLEWOOD RD APT TA
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21403-4267
Practice Address - Country:US
Practice Address - Phone:301-751-5859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2023-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2003101Y00000X
MDLC2003101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor