Provider Demographics
NPI:1770856965
Name:MALAVITE, BARBARA (LCPC, LPCC-S)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:MALAVITE
Suffix:
Gender:F
Credentials:LCPC, LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5525 TWIN KNOLLS RD STE 327
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-3207
Mailing Address - Country:US
Mailing Address - Phone:410-992-9149
Mailing Address - Fax:
Practice Address - Street 1:5525 TWIN KNOLLS RD STE 327
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-3207
Practice Address - Country:US
Practice Address - Phone:410-992-9149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-17
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC9739101YP2500X
OHE1100175-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional