Provider Demographics
NPI:1841426657
Name:MCGUIRE THERAPEUTIC SERVICES, LLC
Entity Type:Organization
Organization Name:MCGUIRE THERAPEUTIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RASHEDA
Authorized Official - Middle Name:FABRE
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:301-523-4279
Mailing Address - Street 1:9332 ANNAPOLIS RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3113
Mailing Address - Country:US
Mailing Address - Phone:301-731-1222
Mailing Address - Fax:301-358-6478
Practice Address - Street 1:9332 ANNAPOLIS RD
Practice Address - Street 2:SUITE 300
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3113
Practice Address - Country:US
Practice Address - Phone:301-731-1222
Practice Address - Fax:301-358-6478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2438101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty