Provider Demographics
NPI:1164945911
Name:THE THUSONG
Entity Type:Organization
Organization Name:THE THUSONG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERLENE
Authorized Official - Middle Name:J
Authorized Official - Last Name:BLAIR-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LCMFT
Authorized Official - Phone:410-902-5940
Mailing Address - Street 1:20 PLEASANT RIDGE DR STE A
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-2560
Mailing Address - Country:US
Mailing Address - Phone:410-902-5940
Mailing Address - Fax:410-902-5941
Practice Address - Street 1:20 PLEASANT RIDGE DR STE A
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-2560
Practice Address - Country:US
Practice Address - Phone:410-902-5940
Practice Address - Fax:410-902-5941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCM190106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty