Provider Demographics
NPI:1437890910
Name:BUIE, EGYPT REJONI (LGPC)
Entity Type:Individual
Prefix:
First Name:EGYPT
Middle Name:REJONI
Last Name:BUIE
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 E NORTH AVE UNIT 204
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21213-1513
Mailing Address - Country:US
Mailing Address - Phone:646-498-2044
Mailing Address - Fax:
Practice Address - Street 1:2000 E NORTH AVE UNIT 204
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213-1513
Practice Address - Country:US
Practice Address - Phone:646-498-2044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP12545101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional