Provider Demographics
NPI:1548747140
Name:LARACY PSYCHOTHERAPY, LLC
Entity Type:Organization
Organization Name:LARACY PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:LARACY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:240-630-8435
Mailing Address - Street 1:11004 SUGARBUSH TER
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3240
Mailing Address - Country:US
Mailing Address - Phone:201-988-6530
Mailing Address - Fax:
Practice Address - Street 1:6917 ARLINGTON RD STE 303
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-5288
Practice Address - Country:US
Practice Address - Phone:240-630-8435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05290103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty