Provider Demographics
NPI:1467267245
Name:MARYLAND MINDFULNESS AND MENTAL PERFORMANCE COUNSELING, LLC
Entity type:Organization
Organization Name:MARYLAND MINDFULNESS AND MENTAL PERFORMANCE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:CAROLINE
Authorized Official - Last Name:SPUND
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:301-523-2017
Mailing Address - Street 1:3607 GARDENVIEW RD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1511
Mailing Address - Country:US
Mailing Address - Phone:301-523-2017
Mailing Address - Fax:
Practice Address - Street 1:5000 THAYER CTR STE C
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550-1139
Practice Address - Country:US
Practice Address - Phone:301-523-2017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health