Provider Demographics
NPI:1437712718
Name:THE COUPLE AND FAMILY CLINIC
Entity Type:Organization
Organization Name:THE COUPLE AND FAMILY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PRINCIPAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LCMFT
Authorized Official - Phone:301-633-1020
Mailing Address - Street 1:2524 LOCUSTWOOD PL
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-6421
Mailing Address - Country:US
Mailing Address - Phone:301-633-1020
Mailing Address - Fax:
Practice Address - Street 1:4424 MONTGOMERY AVE STE 201
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4436
Practice Address - Country:US
Practice Address - Phone:240-390-6381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty