Provider Demographics
NPI:1770194169
Name:MALOUF COUNSELING AND CONSULTING LLC
Entity Type:Organization
Organization Name:MALOUF COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:MALOUF
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:443-885-0889
Mailing Address - Street 1:4800 ROLAND AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-2347
Mailing Address - Country:US
Mailing Address - Phone:443-885-0889
Mailing Address - Fax:443-885-0085
Practice Address - Street 1:4800 ROLAND AVE STE 301
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-2347
Practice Address - Country:US
Practice Address - Phone:443-885-0889
Practice Address - Fax:443-885-0085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-11
Last Update Date:2022-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty