Provider Demographics
NPI:1770256661
Name:SANTOS-LAUNAY, MICHELE DANIELE I (LCPC)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:DANIELE
Last Name:SANTOS-LAUNAY
Suffix:I
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:DANIELE
Other - Last Name:LAUNAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6409 KOFFEL CT
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-7066
Mailing Address - Country:US
Mailing Address - Phone:240-832-1548
Mailing Address - Fax:
Practice Address - Street 1:5044 DORSEY HALL DR STE 204
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-7500
Practice Address - Country:US
Practice Address - Phone:410-884-9200
Practice Address - Fax:443-288-4582
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC10996101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health