Provider Demographics
NPI:1760199863
Name:MLJ COUNSELING & CONSULTING FIRM, LLC
Entity Type:Organization
Organization Name:MLJ COUNSELING & CONSULTING FIRM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:OLUBUSOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:443-203-8508
Mailing Address - Street 1:1612 PROFESSIONAL BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-2049
Mailing Address - Country:US
Mailing Address - Phone:443-203-8508
Mailing Address - Fax:
Practice Address - Street 1:1612 PROFESSIONAL BLVD STE A
Practice Address - Street 2:
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-2049
Practice Address - Country:US
Practice Address - Phone:443-203-8508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MLJ COUNSELING & CONSULTING FIRM, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-31
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty