Provider Demographics
NPI:1750127403
Name:MCDONALD CLINICAL SERVICES, LLC
Entity type:Organization
Organization Name:MCDONALD CLINICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:301-750-2659
Mailing Address - Street 1:11760 CORNFIELD DR
Mailing Address - Street 2:
Mailing Address - City:LUSBY
Mailing Address - State:MD
Mailing Address - Zip Code:20657-2835
Mailing Address - Country:US
Mailing Address - Phone:301-750-2659
Mailing Address - Fax:888-579-0307
Practice Address - Street 1:22776 THREE NOTCH RD STE 200
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-3370
Practice Address - Country:US
Practice Address - Phone:301-750-2659
Practice Address - Fax:888-579-0307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty