Provider Demographics
NPI:1760950497
Name:FABIUS, STEVE (LMC)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:FABIUS
Suffix:
Gender:M
Credentials:LMC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14300 CHERRY LANE CT STE 203
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4979
Mailing Address - Country:US
Mailing Address - Phone:240-360-2637
Mailing Address - Fax:
Practice Address - Street 1:14300 CHERRY LANE CT STE 203
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4979
Practice Address - Country:US
Practice Address - Phone:240-360-2637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-12
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health