Provider Demographics
NPI:1679780050
Name:FAMILY AND MARRIAGE THERAPY CENTER, INC.
Entity Type:Organization
Organization Name:FAMILY AND MARRIAGE THERAPY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COFOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:K
Authorized Official - Last Name:HARGADON-ZESTER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCMFT
Authorized Official - Phone:301-421-9100
Mailing Address - Street 1:15312 SPENCERVILLE CT
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1666
Mailing Address - Country:US
Mailing Address - Phone:301-421-9100
Mailing Address - Fax:
Practice Address - Street 1:15312 SPENCERVILLE CT
Practice Address - Street 2:SUITE 301
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-1666
Practice Address - Country:US
Practice Address - Phone:301-421-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health